2012-05-08T16:54:34-05:00 2011-12-31 381915036 JAFFE RAITT HEUER & WEISS 27777 FRANKLIN ROAD SUITE 2500 SOUTHFIELD MI 480348214 990PF 2011-01-01 271481206 KHAN FAMILY FOUNDATION KHAN 3132772977 861 MONROE STREET DEARBORN MI 48124 SHABANA KHAN 3132772977 2012-05-04 1 AARON H SHERBIN ESQ P00737718 2483513000 2011 2016-02-24 21:20:13Z X 356288 X 335000 29 29 104 104 -1696 135845 0 333437 133 0 0 0 315 0 0 315 0 0 50000 50000 50315 0 50000 283122 133 1 72663 325687 325687 0 30601 30601 72664 356288 356288 0 0 X 0 0 0 0 72664 356288 72664 356288 72664 356288 72664 283122 502 356288 0 356288 2,193 SHARES OF ISHRS TR MSCI EMRG P 2011-11-01 2011-11-11 89266 87546 1720 1720 1,254 SHARES OF ISHRS TR MSCI EMRG P 2011-12-06 2011-12-14 46579 49995 -3416 -3416 -1696 0 500 6337 0.078902 0 19 0.0 0.078902 0.039451 74408 2935 1 2936 50000 X 1 0 1 0 1 0 1 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 1275 74266 0 75541 0 0 75541 1133 74408 3720 3720 1 1 3719 0 3719 0 3719 50000 0 50000 1 49999 3719 0 0 182 182 50000 0 0 0 3719 46281 0 0 46463 0 0 0 0 0 0 0 46463 182 46281 SHABANA KHAN X FORGOTTEN HARVEST INC 21800 GREENFIELD ROAD OAK PARK MI 48237 NONE PUBLIC CHARITY GENERAL CONTRIBUTION 8000 AMERICAN MUSLIM CENTER INC 21110 OUTER DRIVE DEARBORN MI 48124 NONE PUBLIC CHARITY GENERAL CONTRIBUTION 16000 ISLAMIC SOCIETY OF NORTH AMERICA INC PO BOX 4970 CLIFTON NJ 07015 NONE PUBLIC CHARITY GENERAL CONTRIBUTION 3000 INSTITUTE FOR SOCIAL POLICY AND UNDERSTANDING 43151 DALCOMA DRIVE SUITE 6 CLINTON TWP MI 48038 NONE PUBLIC CHARITY GENERAL CONTRIBUTION 5000 ORGANIZATION FOR MEDICAL EDUCATION & ECONOMIC DEVELOPMENT OMEED 1818 JOURDAN COURT EAGAN MN 55122 NONE PUBLIC CHARITY GENERAL CONTRIBUTION 7000 PENRICKTON CENTER FOR BLIND CHILDREN 26530 EUREKA TAYLOR MI 48180 NONE PUBLIC CHARITY GENERAL CONTRIBUTION 1000 UNITED STATES FUND FOR UNICEF 125 MAIDEN LANE 10TH FLOOR NEW YORK NY 10038 NONE PUBLIC CHARITY GENERAL CONTRIBUTION 6000 THE ALIM FOUNDATION INC 1802 BRIGHTSEAT ROAD 101 HYATTSVILLE MD 20785 NONE PUBLIC CHARITY GENERAL CONTRIBUTION 1000 CAIR - MICHIGAN CHAPTER INC 21700 NORTHWESTERN HIGHWAY 815 SOUTHFIELD MI 48075 NONE PUBLIC CHARITY GENERAL CONTRIBUTION 2000 DETROIT RESCUE MISSION 150 STIMSON STREET DETROIT MI 48201 NONE PUBLIC CHARITY GENERAL CONTRIBUTION 1000 50000 0 14 29 14 104 18 -1696 0 -1563 0 -1563 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 3 DRS PARVEZ AND SHABANA KHAN 8 SHADY HOLLOW DRIVE DEARBORN MI 48124 250000 X SECURITIES FMV 30601 30601 CIG SECURITIES 315 0 0 CHARITABLE DONATIONS DEDUCTED IN 2010 500 ROUNDING 2 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