KHAN FAMILY FOUNDATION: Form 990PF, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- KHAN FAMILY FOUNDATION (EIN 27-1481206)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-04-11
- IRS object ID
- 201321019349100322
- Schema version
- 2012v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990-PF
- Schedule B
- Investments Other Schedule2
- Other Decreases Schedule
- Other Expenses Schedule
- Other Increases Schedule
- Substantial Contributors Sch
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-04-11T18:17:51-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 381915036 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JAFFE RAITT HEUER & WEISS | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 27777 FRANKLIN ROAD SUITE 2500 | AddressLine1 |
| City | SOUTHFIELD | City |
| State | MI | State |
| ZIP Code | 480348214 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 271481206 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KHAN FAMILY FOUNDATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | KHAN | NameControl |
| Phone | 3132772977 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 861 MONROE STREET | AddressLine1 |
| City | DEARBORN | City |
| State | MI | State |
| ZIP Code | 48124 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | SHABANA KHAN | Name |
| Title | VICE-PRESIDENT | Title |
| Phone | 3132772977 | Phone |
| Date Signed | 2013-04-09 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | AARON H SHERBIN ESQ | Name |
| PTIN | P00737718 | PTIN |
| Phone | 2483513000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exempt PF | X | ExemptPF |
| FMV Assets EOY | 407186 | FMVAssetsEOY |
| Method Of Accounting Cash | X | MethodOfAccountingCash |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Received Rev And Expnss | 85000 | ContriReceivedRevAndExpnss |
| Interest On Savings Rev And Expnss | 9 | InterestOnSavingsRevAndExpnss |
| Interest On Savings Net Invst Incm | 9 | InterestOnSavingsNetInvstIncm |
| Dividends Rev And Expnss | 7659 | DividendsRevAndExpnss |
| Dividends Net Invst Incm | 7659 | DividendsNetInvstIncm |
| Net Gain Sale Assets Rev And Expnss | 15819 | NetGainSaleAssetsRevAndExpnss |
| Gross Sales Price | 1224692 | GrossSalesPrice |
| Capital Gain Net Incm Net Invst Incm | 15819 | CapitalGainNetIncmNetInvstIncm |
| Total Revenue And Expenses | 108487 | TotalRevenueAndExpenses |
| Total Net Investment Income | 23487 | TotalNetInvestmentIncome |
| Comp Ofcr Dir Trst Rev And Expnss | 0 | CompOfcrDirTrstRevAndExpnss |
| Comp Ofcr Dir Trst Net Invst Incm | 0 | CompOfcrDirTrstNetInvstIncm |
| Comp Ofcr Dir Trst Dsbrs Chrtbl Prps | 0 | CompOfcrDirTrstDsbrsChrtblPrps |
| Taxes Rev And Expnss | 249 | TaxesRevAndExpnss |
| Taxes Net Invst Incm | 249 | TaxesNetInvstIncm |
| Taxes Dsbrs Chrtbl Prps | 0 | TaxesDsbrsChrtblPrps |
| Other Expenses Rev And Expnss | 51 | OtherExpensesRevAndExpnss |
| Other Expenses Net Invst Incm | 51 | OtherExpensesNetInvstIncm |
| Other Expenses Dsbrs Chrtbl Prps | 0 | OtherExpensesDsbrsChrtblPrps |
| Tot Opr Expenses Rev And Expnss | 300 | TotOprExpensesRevAndExpnss |
| Tot Opr Expenses Net Invst Incm | 300 | TotOprExpensesNetInvstIncm |
| Tot Opr Expenses Dsbrs Chrtbl Prps | 0 | TotOprExpensesDsbrsChrtblPrps |
| Contri Gifts Paid Rev And Expnss | 55100 | ContriGiftsPaidRevAndExpnss |
| Contri Gifts Paid Dsbrs Chrtbl Prps | 55100 | ContriGiftsPaidDsbrsChrtblPrps |
| Total Expenses Rev And Expnss | 55400 | TotalExpensesRevAndExpnss |
| Total Expenses Net Invst Incm | 300 | TotalExpensesNetInvstIncm |
| Total Expenses Dsbrs Chrtbl Prps | 55100 | TotalExpensesDsbrsChrtblPrps |
| Excess Of Revenue Over Expenses | 53087 | ExcessOfRevenueOverExpenses |
| Net Investment Income | 23187 | NetInvestmentIncome |
Balance Sheets BalanceSheets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Savings And Temp Cash Invst BOY | 325687 | SavingsAndTempCashInvstBOY |
| Savings And Temp Cash Invst EOY | 104451 | SavingsAndTempCashInvstEOY |
| Savings And Temp Cash Invst EOYFMV | 104451 | SavingsAndTempCashInvstEOYFMV |
| Investments Other BOY | 30601 | InvestmentsOtherBOY |
| Investments Other EOY | 302735 | InvestmentsOtherEOY |
| Investments Other EOYFMV | 302735 | InvestmentsOtherEOYFMV |
| Total Assets BOY | 356288 | TotalAssetsBOY |
| Total Assets EOY | 407186 | TotalAssetsEOY |
| Total Assets EOYFMV | 407186 | TotalAssetsEOYFMV |
| Total Liabilities BOY | 0 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 0 | TotalLiabilitiesEOY |
| Org That Do Not Follow SFAS117 | X | OrgThatDoNotFollowSFAS117 |
| Capital Stock BOY | 0 | CapitalStockBOY |
| Capital Stock EOY | 0 | CapitalStockEOY |
| Paid In Or Capital Surplus BOY | 0 | PaidInOrCapitalSurplusBOY |
| Paid In Or Capital Surplus EOY | 0 | PaidInOrCapitalSurplusEOY |
| Retained Earnings BOY | 356288 | RetainedEarningsBOY |
| Retained Earnings EOY | 407186 | RetainedEarningsEOY |
| Total Net Assets BOY | 356288 | TotalNetAssetsBOY |
| Total Net Assets EOY | 407186 | TotalNetAssetsEOY |
| Total Liabilities Net Assets BOY | 356288 | TotalLiabilitiesNetAssetsBOY |
| Total Liabilities Net Assets EOY | 407186 | TotalLiabilitiesNetAssetsEOY |
Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Net Assets Fund Balances BOY | 356288 | TotalNetAssetsFundBalancesBOY |
| Excess Of Revenue Over Expenses | 53087 | ExcessOfRevenueOverExpenses |
| Other Increases | 1 | OtherIncreases |
| Subtotal | 409376 | Subtotal |
| Other Decreases | 2190 | OtherDecreases |
| Total Net Assets Fund Balances EOY | 407186 | TotalNetAssetsFundBalancesEOY |
Capital Gains And Losses CapitalGainsAndLosses
Capital Gains And Losses Info CapitalGainsAndLossesInfo (15 entries)
| Description Of AssetDescriptionOfAsset | How AcquiredHowAcquired | Date AcquiredDateAcquired | Date SoldDateSold | Gross Sales PriceGrossSalesPrice | Cost Or Other BasisCostOrOtherBasis | Gain Or LossGainOrLoss | Gains Minus Excess Or LossesGainsMinusExcessOrLosses |
|---|---|---|---|---|---|---|---|
| 468 SHARES OF BARCLAY DJ UBS COMMODITY | P | 2012-01-06 | 2012-04-03 | 20060 | 19995 | 65 | 65 |
| 1,433 SHARES OF ISHARES MSCI EMERGING MARKETS | P | 2012-01-04 | 2012-03-01 | 63987 | 55707 | 8280 | 8280 |
| 1,139 SHARES OF ISHARES MSCI EMERGING MARKETS | P | 2012-01-04 | 2012-05-05 | 46323 | 44278 | 2045 | 2045 |
| 2,500 SHARS OF ISHARES MSCI EMERGING MARKETS | P | 2012-06-08 | 2012-10-23 | 102543 | 94235 | 8308 | 8308 |
| 84 SHARES OF ISHARES INVESTMENT BOND FUND | P | 2011-12-12 | 2012-05-09 | 9798 | 9366 | 432 | 432 |
| 185 SHARES OF ISHARES INVESTMENT BOND FUND | P | 2011-12-12 | 2012-09-13 | 22211 | 20628 | 1583 | 1583 |
| 226 SHARES OF ISHARES RUSSELL 1000 GROWTH FUND | P | 2012-04-12 | 2012-05-03 | 14959 | 14788 | 171 | 171 |
| 697 SHARES OF ISHARES RUSSELL 1000 GROWTH FUND | P | 2012-04-12 | 2012-05-09 | 44537 | 45609 | -1072 | -1072 |
| 2,543 SHARES OF ISHARES RUSSELL 1000 GROWTH FUND | P | 2012-04-12 | 2012-06-01 | 153000 | 166404 | -13404 | -13404 |
| 612 SHARES OF ISHARES RUSSELL 1000 GROWTH FUND | P | 2012-05-17 | 2012-06-01 | 43594 | 44695 | -1101 | -1101 |
| 2,080 ISHARES RUSSELL 2000 VALUE FUND | P | 2012-01-03 | 2012-02-13 | 150621 | 139509 | 11112 | 11112 |
| 2,445 SHARES OF ISHARES RUSSELL 2000 GROWTH FUND | P | 2012-04-12 | 226784 | 229162 | -2378 | -2378 | |
| 1,485 SHARES OF ISHARES RUSSELL 2000 GROWTH FUND | P | 2012-09-06 | 2012-10-22 | 137642 | 142932 | -5290 | -5290 |
| 2,210 SHARES OF ISHARES DJ US REAL ESTATE | P | 2012-06-12 | 2012-08-21 | 143690 | 135243 | 8447 | 8447 |
| 1,206 SHARES OF VANGUARD MSCI EMERGING MARKETS | P | 2012-05-17 | 2012-06-01 | 44943 | 46322 | -1379 | -1379 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | 15819 | CapitalGainNetIncome |
Qlfy Und Sect4940e For Reduced Tax QlfyUndSect4940eForReducedTax
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable For4942 Tax | 0 | LiableFor4942Tax |
| Qualifying Distributions Year1 | 49999 | QualifyingDistributionsYear1 |
| Noncharitable Assets Year1 | 74408 | NoncharitableAssetsYear1 |
| Distribution Ratio Year1 | 0.671957 | DistributionRatioYear1 |
| Qualifying Distributions Year2 | 500 | QualifyingDistributionsYear2 |
| Noncharitable Assets Year2 | 6337 | NoncharitableAssetsYear2 |
| Distribution Ratio Year2 | 0.078902 | DistributionRatioYear2 |
| Qualifying Distributions Year3 | 0 | QualifyingDistributionsYear3 |
| Noncharitable Assets Year3 | 19 | NoncharitableAssetsYear3 |
| Distribution Ratio Year3 | 0.000000 | DistributionRatioYear3 |
| Total Distribution Ratio | 0.750859 | TotalDistributionRatio |
| Average Distribution Ratio | 0.250286 | AverageDistributionRatio |
| Net Noncharitable Assets | 346105 | NetNoncharitableAssets |
| Adjusted Noncharitable Assets | 86625 | AdjustedNoncharitableAssets |
| One Percent Net Investment Income | 232 | OnePercentNetInvestmentIncome |
| Adj Nonchrtbl Assets And One | 86857 | AdjNonchrtblAssetsAndOnePct |
| Qualifying Distributions | 55100 | QualifyingDistributions |
Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | 464 | InvestmentIncomeExciseTax |
| Tax Under Section511 | 0 | TaxUnderSection511 |
| Subtotal | 464 | Subtotal |
| Subtitle A Tax | 0 | SubtitleATax |
| Tax Based On Investment Income | 464 | TaxBasedOnInvestmentIncome |
| Total Credits And Payments | 0 | TotalCreditsAndPayments |
| Tax Due | 464 | TaxDue |
Statements Regarding Activities StatementsRegardingActivities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Activities | 0 | LegislativePoliticalActivities |
| More Than100 Spent | 0 | MoreThan100Spent |
| Form1120 POL Filed | 0 | Form1120POLFiled |
| Sect4955 Tax On Organization | 0 | Sect4955TaxOnOrganization |
| Sect4955 Tax On Managers | 0 | Sect4955TaxOnManagers |
| Reimbursement Of Tax | 0 | ReimbursementOfTax |
| Activities Not Prev Reported | 0 | ActivitiesNotPrevReported |
| Changes To Articles Or Bylaws | 0 | ChangesToArticlesOrBylaws |
| Unrelated Bus Income Over1000 | 0 | UnrelatedBusIncomeOver1000 |
| Termination Etc | 0 | TerminationEtc |
| Requirements Of Sect508e | 1 | RequirementsOfSect508e |
| At Least5000 In Assets | 1 | AtLeast5000InAssets |
| States Filed With | MI | StatesFiledWith |
| Form990 PF Filed With AG | 1 | Form990PFFiledWithAG |
| Private Operating Foundation | 0 | PrivateOperatingFoundation |
| New Substantial Contributors | 1 | NewSubstantialContributors |
| Interest In Controlled Entity | 0 | InterestInControlledEntity |
| Applicable Insurance Contract | 0 | ApplicableInsuranceContract |
| Comply With Public Inspection Rqr | 1 | ComplyWithPublicInspectionRqr |
| Website Address | N/A | WebsiteAddress |
| Books In Care Of Person Name | BLUNDEN ASSOCIATES PC | BooksInCareOfPersonName |
| Books In Care Of Phone Number | 7342930055 | BooksInCareOfPhoneNumber |
Books In Care Of US Address BooksInCareOfUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 14600 FARMINGTON RD STE 105 | AddressLine1 |
| City | LIVONIA | City |
| State | MI | State |
| ZIP Code | 48154 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Bank | 0 | ForeignBank |
Statements Regarding Acty4720 StatementsRegardingActy4720
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exchange With Dsqfly Person | 0 | SaleOrExchangeWithDsqflyPerson |
| Borrow Or Lend With Dsqfly Person | 0 | BorrowOrLendWithDsqflyPerson |
| Furnished Goods With Dsqfly Person | 0 | FurnishedGoodsWithDsqflyPerson |
| Pay Compensation To Dsqfly Person | 0 | PayCompensationToDsqflyPerson |
| Transfer Assets To Dsqfly Person | 0 | TransferAssetsToDsqflyPerson |
| Payment To Government Offical | 0 | PaymentToGovernmentOffical |
| Uncorrected Prior Acts | 0 | UncorrectedPriorActs |
| Undistributed Income Prior Years | 0 | UndistributedIncomePriorYears |
| Business Holdings | 0 | BusinessHoldings |
| Jeopardy Investments | 0 | JeopardyInvestments |
| Uncorrected Jeopardy Investments | 0 | UncorrectedJeopardyInvestments |
| Influence Legislation | 0 | InfluenceLegislation |
| Influence Election | 0 | InfluenceElection |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Noncharitable Purpose | 0 | NoncharitablePurpose |
| Rcv Funds To Pay Prsnl Bnft Contract | 0 | RcvFundsToPayPrsnlBnftContract |
| Pay Premiums Prsnl Bnft Contract | 0 | PayPremiumsPrsnlBnftContract |
| Prohibited Tax Shelter Transactn | 0 | ProhibitedTaxShelterTransactn |
Ofcr Dir Trustees Key Employee Info OfcrDirTrusteesKeyEmployeeInfo
Ofcr Dir Trustees Or Key Employee OfcrDirTrusteesOrKeyEmployee (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | TitleTitle | Avg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPosition | CompensationCompensation | Contri To Empl Benefit Plans EtcContriToEmplBenefitPlansEtc | Expense Account Other AllowancesExpenseAccountOtherAllowances |
|---|---|---|---|---|---|---|---|---|
| PARVEZ KHAN | ||||||||
| 861 MONROE STREET | DEARBORN | MI | 48124 | PRESIDENT | 0.20 | 0 | 0 | 0 |
| SHABANA KHAN | ||||||||
| 861 MONROE STREET | DEARBORN | MI | 48124 | VICE-PRESIDENT, TREASURER, | 0.20 | 0 | 0 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Highest Paid Empl NONE | NONE | CompOfHighestPaidEmplNONE |
| Tot Number Of Oth Empl Paid Over50k | 0 | TotNumberOfOthEmplPaidOver50k |
| Comp Of Hghst Paid Cntrct NONE | NONE | CompOfHghstPaidCntrctNONE |
| Tot Number Of Cntrct Paid Over50k | 0 | TotNumberOfCntrctPaidOver50k |
Sum Of Program Related Investments SumOfProgramRelatedInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Minimum Investment Return MinimumInvestmentReturn
| Field | Value | IRS element (for citing) |
|---|---|---|
| Avg Monthly FMV Of Securities | 259903 | AvgMonthlyFMVOfSecurities |
| Avg Monthly Cash Balances | 91473 | AvgMonthlyCashBalances |
| FMV All Other Noncharitable Assets | 0 | FMVAllOtherNoncharitableAssets |
| Total FMV Of Unused Assets | 351376 | TotalFMVOfUnusedAssets |
| Reduction Claimed | 0 | ReductionClaimed |
| Acquisition Indebtedness | 0 | AcquisitionIndebtedness |
| Adj Total FMV Of Unused Assets | 351376 | AdjTotalFMVOfUnusedAssets |
| Cash Deemed Charitable | 5271 | CashDeemedCharitable |
| Net Noncharitable Assets | 346105 | NetNoncharitableAssets |
| Minimum Investment Return | 17305 | MinimumInvestmentReturn |
Distributable DistributableAmount
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | 17305 | MinimumInvestmentReturn |
| Tax Based On Investment Income | 464 | TaxBasedOnInvestmentIncome |
| Total Tax | 464 | TotalTax |
| Distributable Amount Before Adj | 16841 | DistributableAmountBeforeAdj |
| Recoveries Qlfy Distributions | 0 | RecoveriesQlfyDistributions |
| Distributable Amount Before Ded | 16841 | DistributableAmountBeforeDed |
| Deduction Fr Distributable | $0 | DeductionFrDistributableAmount |
| Distributable Amount As Adjusted | 16841 | DistributableAmountAsAdjusted |
Qualifying Distributions QualifyingDistributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | 55100 | ExpensesAndContributions |
| Program Related Investments Total | 0 | ProgramRelatedInvestmentsTotal |
| Qualifying Distributions | 55100 | QualifyingDistributions |
| One Pct Sect4940e Org Net Invst Incm | 0 | OnePctSect4940eOrgNetInvstIncm |
| Adj Qualifying Distributions | 55100 | AdjQualifyingDistributions |
Undistributed Income UndistributedIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable Amount As Adjusted | 16841 | DistributableAmountAsAdjusted |
| Undistributed Income Prior Year | 0 | UndistributedIncomePriorYear |
| Total For Prior Years | 0 | TotalForPriorYears |
| Excess Distri Carryover Year2 | 182 | ExcessDistriCarryoverYear2 |
| Excess Distri Carryover Year1 | 46281 | ExcessDistriCarryoverYear1 |
| Total Excess Distri Carryover | 46463 | TotalExcessDistriCarryover |
| Qualifying Distributions | 55100 | QualifyingDistributions |
| Applied To Year1 | 0 | AppliedToYear1 |
| Applied To Prior Years | 0 | AppliedToPriorYears |
| Treated As Distri From Corpus | 0 | TreatedAsDistriFromCorpus |
| Applied To Current Year | 16841 | AppliedToCurrentYear |
| Remaining Distri From Corpus | 38259 | RemainingDistriFromCorpus |
| Excess Distri Cyov App CY Corpus | 0 | ExcessDistriCyovAppCYCorpus |
| Excess Distri Cyov Applied CY | 0 | ExcessDistriCyovAppliedCY |
| Total Corpus | 84722 | TotalCorpus |
| Prior Year Undistributed Income | 0 | PriorYearUndistributedIncome |
| Prior Year Deficiency Or Tax | 0 | PriorYearDeficiencyOrTax |
| Taxable Amount1 | 0 | TaxableAmount1 |
| Taxable Amount2 | 0 | TaxableAmount2 |
| Undistributed Income CY | 0 | UndistributedIncomeCY |
| Distri From Corpus170b1 E Or4942g3 | 0 | DistriFromCorpus170b1EOr4942g3 |
| Excess Distri Cyov From Year5 | 0 | ExcessDistriCyovFromYear5 |
| Excess Distri Cyov To Next Year | 84722 | ExcessDistriCyovToNextYear |
| Excess From Year2 | 182 | ExcessFromYear2 |
| Excess From Year1 | 46281 | ExcessFromYear1 |
| Excess From Current Year | 38259 | ExcessFromCurrentYear |
Supplementary Information SupplementaryInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | SHABANA KHAN | ContributingManager |
| Only Contributes To Preselected | X | OnlyContributesToPreselected |
Grant Or Contri Paid During Year GrantOrContriPaidDuringYear (12 entries)
| Address Line1RecipientUSAddress/AddressLine1 | CityRecipientUSAddress/City | StateRecipientUSAddress/State | ZIP CodeRecipientUSAddress/ZIPCode | Recipient RelationshipRecipientRelationship | Recipient Foundation StatusRecipientFoundationStatus | Purpose Of Grant Or ContributionPurposeOfGrantOrContribution | AmountAmount |
|---|---|---|---|---|---|---|---|
| AMERICAN MUSLIM CENTER INC | |||||||
| 21110 OUTER DRIVE | DEARBORN | MI | 48124 | NONE | PUBLIC CHARITY | GENERAL CONTRIBUTION | $15,000 |
| COUNCIL ON AMERICAN-ISLAMIC RELATIONSIPS INC - MICHIGAN CHAPTER | |||||||
| 21700 NORTHWESTERN HIGHWAY 815 | SOUTHFIELD | MI | 48075 | NONE | PUBLIC CHARITY | GENERAL CONTRIBUTION | $2,000 |
| DETROIT SYMPHONY ORCHESTRA | |||||||
| 3711 WOODWARD AVENUE | DETROIT | MI | 48201 | NONE | PUBLIC CHARITY | GENERAL CONTRIBUTION | $1,000 |
| FORGOTTEN HARVEST INC | |||||||
| 21800 GREENFIELD ROAD | OAK PARK | MI | 48237 | NONE | PUBLIC CHARITY | GENERAL CONTRIBUTION | $9,500 |
| INSTITUTE FOR SOCIAL POLICY AND UNDERSTANDING | |||||||
| 43151 DALCOMA DRIVE SUITE 6 | CLINTON TWP | MI | 48038 | NONE | PUBLIC CHARITY | GENERAL CONTRIBUTION | $5,000 |
| ISLAMIC SOCIETY OF NORTH AMERICA INC | |||||||
| PO BOX 4970 | CLIFTON | NJ | 07015 | NONE | PUBLIC CHARITY | GENERAL CONTRIBUTION | $2,000 |
| ORGANIZATION FOR MEDICAL EDUCATION & ECONOMIC DEVELOPMENT OMEED | |||||||
| 1818 JOURDAN COURT | EAGAN | MN | 55122 | NONE | PUBLIC CHARITY | GENERAL CONTRIBUTION | $9,000 |
| ISLAMIC CENTER OF AMERICA | |||||||
| 19500 FORD ROAD | DEARBORN | MI | 48128 | NONE | PUBLIC CHARITY | GENERAL CONTRIBUTION | $2,100 |
| AKSHAYA PATRA FOUNDATION | |||||||
| 92 MONTVALE AVENUE SUITE 2500 | STONEHAM | MA | 02180 | NONE | FOUNDATION | GENERAL CONTRIBUTION | $1,000 |
| UNITED STATES FUND FOR UNICEF | |||||||
| 125 MAIDEN LANE 10TH FLOOR | NEW YORK | NY | 10038 | NONE | PUBLIC CHARITY | GENERAL CONTRIBUTION | $5,000 |
| ISLAMIC RELIEF USA | |||||||
| 3655 WHEELER AVENUE | ALEXANDRIA | VA | 22304 | NONE | PUBLIC CHARITY | GENERAL CONTRIBUTION | $1,500 |
| MUSLIMS AGAINST HUNGER A DBA OF OUR PLACE INC | |||||||
| PO BOX 12 | PLUCKEMIN | NJ | 07978 | NONE | 501(C)(3) | GENERAL CONTRIBUTION | $2,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Grant Or Contri Paid During Year | 55100 | TotGrantOrContriPaidDuringYear |
| Tot Grant Or Contri Approved Future | 0 | TotGrantOrContriApprovedFuture |
Analysis Income Producing Acty AnalysisIncomeProducingActy
Int On Savings And Temp Cash Invst IntOnSavingsAndTempCashInvst
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion Code | 14 | ExclusionCode |
| Exclusion | $9 | ExclusionAmount |
Dividends And Int From Sec Part VII DividendsAndIntFromSecPartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion Code | 14 | ExclusionCode |
| Exclusion | $7,659 | ExclusionAmount |
Gain Sales Assets Oth Than Invntry GainSalesAssetsOthThanInvntry
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion Code | 18 | ExclusionCode |
| Exclusion | $15,819 | ExclusionAmount |
Subtotals Part XVIA SubtotalsPartXVIA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Income | $0 | UnrelatedBusinessIncomeAmount |
| Exclusion | $23,487 | ExclusionAmount |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Part XVIA | 23487 | TotalPartXVIA |
Trnsfr Tr Rln With Noncharitable EO TrnsfrTrRlnWithNoncharitableEO
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Noncharitable EO | 0 | TrnsfrOfCashToNoncharitableEO |
| Trnsfr Oth Assets Noncharitable EO | 0 | TrnsfrOthAssetsNoncharitableEO |
| Sales Or Exchanges Of Assets | 0 | SalesOrExchangesOfAssets |
| Purchase Assets Noncharitable EO | 0 | PurchaseAssetsNoncharitableEO |
| Rental Of Facilities Etc | 0 | RentalOfFacilitiesEtc |
| Reimbursement Arrangements | 0 | ReimbursementArrangements |
| Loans Or Loan Guarantees | 0 | LoansOrLoanGuarantees |
| Performance Of Services Etc | 0 | PerformanceOfServicesEtc |
| Sharing Of Facilities Etc | 0 | SharingOfFacilitiesEtc |
| Relationships Noncharitable E Os | 0 | RelationshipsNoncharitableEOs |
Schedule B IRS990ScheduleB
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | X | Organization501c3ExemptPF |
| General Rule | X | GeneralRule |
Contributor Info ContributorInfo (2 entries)
| Contributor NumberContributorNumber | Address Line1ContributorAddressUS/AddressLine1 | CityContributorAddressUS/City | StateContributorAddressUS/State | ZIP CodeContributorAddressUS/ZIPCode | Aggregate ContributionsAggregateContributions | Person Contribution TypePersonContributionType |
|---|---|---|---|---|---|---|
| KHAN 2009 GRANTOR CHARITABLE LEAD ANNUITY TRUST | ||||||
| 1 | 8 SHADY HOLLOW DRIVE | DEARBORN | MI | 48124 | 42500 | X |
| KHAN 2010 GRANTOR CHARITABLE LEAD ANNUITY TRUST | ||||||
| 2 | 8 SHADY HOLLOW DRIVE | DEARBORN | MI | 48124 | 42500 | X |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category Or Item | SECURITIES | CategoryOrItem |
| Listed At Cost Or FMV | FMV | ListedAtCostOrFMV |
| Book Value | 302735 | BookValue |
| EOYFMV | 302735 | EOYFMV |
Other Decreases Schedule OtherDecreasesSchedule
Other Decreases OtherDecreases
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | UNREALIZED LOSS ON SECURITIES | Description |
| Amount | $2,190 | Amount |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses OtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | CIG SECURITIES | Description |
| Revenue And Expenses Per Books | 51 | RevenueAndExpensesPerBooks |
| Net Investment Income | 51 | NetInvestmentIncome |
| Disbursements Charitable Prps | 0 | DisbursementsCharitablePrps |
Other Increases Schedule OtherIncreasesSchedule
Other Increases OtherIncreases
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | ROUNDING | Description |
| Amount | $1 | Amount |
Substantial Contributors Sch SubstantialContributorsSch
Substantial Contributor SubstantialContributor (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode |
|---|---|---|---|
| KHAN 2009 GRANTOR CHARITABLE LEAD ANNUITY TRUST | |||
| 8 SHADY HOLLOW DRIVE | DEARBORN | MI | 48124 |
| KHAN 2010 GRANTOR CHARITABLE LEAD ANNUITY TRUST | |||
| 8 SHADY HOLLOW DRIVE | DEARBORN | MI | 48124 |
Taxes Schedule TaxesSchedule
Taxes Taxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | FOREIGN TAX | Category |
| Amount | $249 | Amount |
| Net Investment Income | 249 | NetInvestmentIncome |
| Disbursements Charitable Prps | 0 | DisbursementsCharitablePrps |
Comments