2013-04-11T18:17:51-05:00 2012-12-31 381915036 JAFFE RAITT HEUER & WEISS 27777 FRANKLIN ROAD SUITE 2500 SOUTHFIELD MI 480348214 990PF 2012-01-01 271481206 KHAN FAMILY FOUNDATION KHAN 3132772977 861 MONROE STREET DEARBORN MI 48124 SHABANA KHAN 3132772977 2013-04-09 1 AARON H SHERBIN ESQ P00737718 2483513000 2012 2016-02-24 21:20:13Z X 407186 X 85000 9 9 7659 7659 15819 1224692 15819 108487 23487 0 0 0 249 249 0 51 51 0 300 300 0 55100 55100 55400 300 55100 53087 23187 325687 104451 104451 30601 302735 302735 356288 407186 407186 0 0 X 0 0 0 0 356288 407186 356288 407186 356288 407186 356288 53087 1 409376 2190 407186 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 15819 0 49999 74408 0.671957 500 6337 0.078902 0 19 0.000000 0.750859 0.250286 346105 86625 232 86857 55100 464 0 464 0 464 0 464 0 0 0 0 0 0 0 0 0 0 1 1 MI 1 0 1 0 0 1 N/A BLUNDEN ASSOCIATES PC 7342930055 14600 FARMINGTON RD STE 105 LIVONIA MI 48154 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PARVEZ KHAN 861 MONROE STREET DEARBORN MI 48124 0.20 0 0 0 SHABANA KHAN 861 MONROE STREET DEARBORN MI 48124 0.20 0 0 0 NONE 0 NONE 0 0 259903 91473 0 351376 0 0 351376 5271 346105 17305 17305 464 464 16841 0 16841 0 16841 55100 0 55100 0 55100 16841 0 0 182 46281 46463 55100 0 0 0 16841 38259 0 0 84722 0 0 0 0 0 0 0 84722 182 46281 38259 SHABANA KHAN X AMERICAN MUSLIM CENTER INC 21110 OUTER DRIVE DEARBORN MI 48124 NONE PUBLIC CHARITY GENERAL CONTRIBUTION 15000 COUNCIL ON AMERICAN-ISLAMIC RELATIONSIPS INC - MICHIGAN CHAPTER 21700 NORTHWESTERN HIGHWAY 815 SOUTHFIELD MI 48075 NONE PUBLIC CHARITY GENERAL CONTRIBUTION 2000 DETROIT SYMPHONY ORCHESTRA 3711 WOODWARD AVENUE DETROIT MI 48201 NONE PUBLIC CHARITY GENERAL CONTRIBUTION 1000 FORGOTTEN HARVEST INC 21800 GREENFIELD ROAD OAK PARK MI 48237 NONE PUBLIC CHARITY GENERAL CONTRIBUTION 9500 INSTITUTE FOR SOCIAL POLICY AND UNDERSTANDING 43151 DALCOMA DRIVE SUITE 6 CLINTON TWP MI 48038 NONE PUBLIC CHARITY GENERAL CONTRIBUTION 5000 ISLAMIC SOCIETY OF NORTH AMERICA INC PO BOX 4970 CLIFTON NJ 07015 NONE PUBLIC CHARITY GENERAL CONTRIBUTION 2000 ORGANIZATION FOR MEDICAL EDUCATION & ECONOMIC DEVELOPMENT OMEED 1818 JOURDAN COURT EAGAN MN 55122 NONE PUBLIC CHARITY GENERAL CONTRIBUTION 9000 ISLAMIC CENTER OF AMERICA 19500 FORD ROAD DEARBORN MI 48128 NONE PUBLIC CHARITY GENERAL CONTRIBUTION 2100 AKSHAYA PATRA FOUNDATION 92 MONTVALE AVENUE SUITE 2500 STONEHAM MA 02180 NONE FOUNDATION GENERAL CONTRIBUTION 1000 UNITED STATES FUND FOR UNICEF 125 MAIDEN LANE 10TH FLOOR NEW YORK NY 10038 NONE PUBLIC CHARITY GENERAL CONTRIBUTION 5000 ISLAMIC RELIEF USA 3655 WHEELER AVENUE ALEXANDRIA VA 22304 NONE PUBLIC CHARITY GENERAL CONTRIBUTION 1500 MUSLIMS AGAINST HUNGER A DBA OF OUR PLACE INC PO BOX 12 PLUCKEMIN NJ 07978 NONE 501(C)(3) GENERAL CONTRIBUTION 2000 55100 0 14 9 14 7659 18 15819 0 23487 0 23487 0 0 0 0 0 0 0 0 0 0 X X 1 KHAN 2009 GRANTOR CHARITABLE LEAD ANNUITY TRUST 8 SHADY HOLLOW DRIVE DEARBORN MI 48124 42500 X 2 KHAN 2010 GRANTOR CHARITABLE LEAD ANNUITY TRUST 8 SHADY HOLLOW DRIVE DEARBORN MI 48124 42500 X SECURITIES FMV 302735 302735 UNREALIZED LOSS ON SECURITIES 2190 CIG SECURITIES 51 51 0 ROUNDING 1 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 FOREIGN TAX 249 249 0