Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletInformation about Form 990-PF and its instructions is at www.irs.gov/form990pf.
OMB No. 1545-0052
2014
Open to Public Inspection
For calendar year 2014, or tax year beginning 2014, and ending , 20
Name of foundation
Ruqiyya Khanum Foundation
 

Number and street (or P.O. box number if mail is not delivered to street address)4705 Towne Center Room 302   Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Saginaw, MI48604
A Employer identification number

27-1725586
B Telephone number (see instructions)

(989) 992-9901
C bullet
G Check all that apply:

D 1. bullet
2. bullet
E bullet
H Check type of organization:
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$914,127
J Accounting method:
 
(Part I, column (d) must be on cash basis.)
F bullet
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books
(b) Net investment
income
(c) Adjusted net
income
(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach
schedule).............. 100,000
2 Check bullet
Sch. B ...............
3 Interest on savings and temporary cash investments 6 6  
4 Dividends and interest from securities...... 15,535 15,535  
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 131,055
b Gross sales price for all assets on line 6a 1,024,535
7 Capital gain net income (from Part IV, line 2)... 131,028
8 Net short-term capital gain......... 53,423
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule)....... -128,779 -128,752  
12 Total. Add lines 1 through 11........ 117,817 17,817 53,423
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc.        
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... 750      
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions)...        
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 175      
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 925 0   0
25 Contributions, gifts, grants paid........ 26,700 26,700
26 Total expenses and disbursements. Add lines 24 and 25 27,625 0   26,700
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 90,192
b Net investment income (if negative, enter -0-) 17,817
c Adjusted net income (if negative, enter -0-)... 53,423
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2014)
Form 990-PF (2014)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)
Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing............... 1,693 152,575 152,574
2 Savings and temporary cash investments..........   41,122 41,122
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use...............      
9 Prepaid expenses and deferred charges...........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)........      
c Investments—corporate bonds (attach schedule)........      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans..............      
13 Investments—other (attach schedule)........... 697,477 Click to see attachment595,665 720,431
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 699,170 789,362 914,127
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable..................    
19 Deferred revenue..................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)..........   0
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted................... 699,170 789,362
25 Temporarily restricted................    
26 Permanently restricted................    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds.........    
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds    
30 Total net assets or fund balances (see instructions)...... 699,170 789,362
31 Total liabilities and net assets/fund balances (see instructions).. 699,170 789,362
Part III Analysis of Changes in Net Assets or Fund Balances
1 Total net assets or fund balances at beginning of year—Part II, column (a), line 30 (must agree
with end-of-year figure reported on prior year’s return)............... 1 699,170
2 Enter amount from Part I, line 27a..................... 2 90,192
3 Other increases not included in line 2 (itemize) bullet 3  
4 Add lines 1, 2, and 3.......................... 4 789,362
5 Decreases not included in line 2 (itemize) bullet 5  
6 Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30. 6 789,362
Form 990-PF (2014)
Form 990-PF (2014)
Page 3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.)
(b) How acquired
P—Purchase
D—Donation
(c) Date acquired
(mo., day, yr.)
(d) Date sold
(mo., day, yr.)
1 a BARNES NOBLE P 2013-09-05 2014-02-26
b BARNES NOBLE P 2013-12-11 2014-03-03
c BARNES NOBLE P 2014-05-21 2014-06-13
d CITIGROUP D 2009-02-03 2014-01-09
e HEWLETT PACKARD D 2010-11-17 2014-07-29
CITIGROUP INC D 2009-10-26 2014-01-09
COMPUTER SCIENCES CORP D 2010-03-24 2014-02-07
GOLDMAN SACHS GROUP D 2010-03-24 2014-01-06
HALLWOOD GROUP D 2010-11-17 2010-05-19
HEWLETT PACKARD D 2010-11-17 2014-07-29
JUNIPER NETWORKS D 2010-03-29 2014-01-27
ACCO BRANDS CORP P 2014-08-25 2014-10-02
ALLEGHENY TECHNLOGIES P 2014-04-14 2014-09-29
AMERICAN AXLE MGS HOLDINGS P 2014-01-22 2014-02-03
AMERICAN REALTY CAPAITAL P 2014-01-21 2014-04-14
AMERIAN TOWER CORP P 2014-01-22 2014-03-10
AMERPRISE FINL ICN COM P 2013-02-11 2014-02-04
ANNALLY CAPITALMGMT P 2014-03-24 2014-07-03
ARCHER DANIELS MIDLAND P 2014-04-11 2014-10-16
ARRIS GROUP INC P 2013-08-19 2014-04-25
AUTOZONE INC P 2014-11-17 2014-12-02
BALL CORP P 2014-02-10 2014-12-02
BANCO BRADESCIO S A ADR P 2014-04-14 2014-10-21
BANK OFAMERICA P 2014-02-03 2014-04-28
BARD C R INC P 2014-03-17 2014-04-14
BARD C R INC P 2014-08-04 2014-12-02
BECTON P 2014-02-18 2014-12-02
BED BATH BEYOND P 2013-04-19 2014-01-13
BED BATH BEYOND P 2014-09-29 2014-12-02
BRUNSWICK CORP P 2014-10-31 2014-12-02
CF INDUSTRIES P 2014-09-29 2014-12-02
cf industries P 2014-09-29 2014-12-15
CAMERON INTERNATIONAL P 2014-04-28 2014-08-29
CANADIAN NATURAL RESOURCES P 2013-11-26 2014-01-21
CARNIVAL CORP P 2014-09-29 2014-10-13
CHESAPEAKE ENERGY CORP P 2013-05-30 2014-01-06
CISCO SYSTEMS P 2014-05-30 2014-12-02
CITIGROUP P 2014-01-06 2014-01-22
CONTINENTAL RESOURCES P 2014-04-14 2014-09-29
CUMMINS INC. P 2014-02-10 2014-09-29
FOREST LABS INC P 2013-05-30 2014-04-14
HAEMONETICS CORP MASS COM P 2013-12-09 2014-01-22
HALLBURTON CO P 2014-03-24 2014-10-06
HEWLETT PACKARD P 2013-02-11 2014-02-10
HOME DEPOT P 2013-02-11 2014-02-10
HOME DEPOT P 2014-10-13 2014-12-02
HONEWELL INTERNATIONAL P 2014-07-21 2014-12-02
HUNTSMAN GROUP P 2013-09-23 2014-01-22
HUNSTMAN GROUP P 2014-05-02 2014-10-10
INTERCONTINENTAL EXCHANGE P 2014-10-13 2014-12-02
INTL BUSINESS MACHINES COM P 2014-04-14 2014-05-30
INTUIT INC. P 2013-07-15 2014-02-10
JOHNSON JOHNSON P 2014-04-14 2014-12-02
JUNIPER NETWORKS INC P 2014-01-06 2014-03-17
KAPSTONE PAPER PACKAGING P 2014-07-28 2014-10-02
KELLOGG CO P 2014-04-11 2014-06-20
LAM RESEARCH CORP P 2014-01-13 2014-02-03
LAM RESEARCH CORP P 2014-03-24 2014-04-14
LENNAR CORP P 2014-01-13 2014-07-28
MAXIM INTEGRATED PRODS P 2014-02-04 2014-10-08
MCDONALDS CORP P 2014-04-14 2014-06-20
MCKESSON CORP P 2014-11-03 2014-12-02
METLIFE INC P 2014-06-20 2014-08-04
MORGAN STANLEY P 2014-09-02 2014-12-02
NETAPP INC P 2014-01-22 2014-02-18
NORFOLK SOUTHER CORP P 2014-11-17 2014-12-02
OMNICARE INC P 2014-11-17 2014-12-02
PPG INDUSTRIES P 2013-05-13 2014-02-10
PERKINELMER INC P 2014-02-11 2014-09-02
PETSMART INC P 2014-11-25 2014-12-02
RYDER SYSTEM INC P 2014-04-28 2014-12-02
SALLY BEAUTY HOLDINGS P 2014-11-25 2014-12-02
SPANSION INC P 2014-01-22 2014-10-13
STARBUCK CORP P 2013-02-11 2014-01-13
STATE STREET CORP P 2014-07-21 2014-12-02
STERICYCLE INC P 2013-02-11 2014-01-06
SYNGENTA AG SPONSORED P 2014-04-22 2014-06-23
TERADYNE INC P 2014-01-22 2014-04-14
TESCOR CORP P 2013-11-22 2014-01-13
ESCOR CORP P 2014-06-10 2014-12-02
TOTAL SYS SVCS INC. P 2014-07-28 2014-12-02
TRAVEL CENTERS OF AMERICA P 2014-08-25 2014-10-02
UDR INC COM P 2014-02-10 2014-03-24
UNITED RENTALS CV COM P 2014-08-25 2014-10-02
UNUM PROVIDENT CORP P 2014-09-02 2014-11-21
VALEANT PHARMACEUTICALS P 2014-04-28 2014-06-12
VALEANT PHARMACEUTICALS P 2014-11-25 2014-12-02
VARIAN MEDICAL SYSTEMS P 2013-12-05 2014-04-28
WESTERN DIGITAL CORP P 2014-04-28 2014-12-02
WYNDHAM WORLDWIDE CORP P 2013-11-26 2014-03-24
YUMI BRANDS INC P 2014-06-20 2014-07-22
ZIMMER HOLDINGS P 2013-12-05 2014-03-24
ACTAVIS PLC ORD P 2014-07-03 2014-12-02
COSAN LTD P 2014-06-10 2014-08-13
HOLLSYS AUTOMATION TECH LTD P 2014-04-14 2014-12-02
JAZZ PHARMACEUTICALS P 2013-07-08 2014-03-28
CIMPRESS NV P 2014-11-04 2014-12-02
AMERICAN EXPRESS P 2013-02-11 2014-09-02
APPLE INC P 2013-09-12 2014-12-02
FIDELITY NATIONAL P 2013-03-12 2014-04-28
GOOGLE INC P 2013-03-04 2014-04-11
MCKESSON CORP P 2013-02-11 2014-04-14
TORO CO COM P 2013-02-11 2014-07-21
UNION PAC CORP P 2013-11-22 2014-12-02
VALEANT PHARMACEUTICALS INTL P 2013-02-11 2014-04-07
REMTAOR TD P 2013-02-11 2014-04-22
D R HORTON INC P 2014-02-10 2014-03-24
DICKS SPORTING GOODS P 2014-11-25 2014-12-02
DOLLAR GENERAL CORP P 2013-04-01 2014-01-22
DOW CHEMICAL COM P 2014-02-04 2014-10-14
ENDOLOGIX INC P 2014-02-04 2014-01-22
EXPRESS SCRIPTS HOLDINGS P 2013-11-22 2014-04-30
F M C CORP P 2014-03-17 2014-04-14
F5 CORP P 2014-01-13 2014-12-02
FOMOSAR CPR P 2014-03-24 2014-04-11
GOOGLE INC P 2013-03-04 2014-04-11
(e) Gross sales price (f) Depreciation allowed
(or allowable)
(g) Cost or other basis
plus expense of sale
(h) Gain or (loss)
(e) plus (f) minus (g)
a 56,989   40,141 16,848
b 39,989   27,890 12,099
c 20,770   16,110 4,660
d 87,990   44,570 43,420
e 80,989   78,728 2,261
21,998   12,544 9,454
7,430   3,833 3,597
7,010   6,819 191
6,195   5,752 443
4,607   5,606 -999
27,740   29,892 -2,152
4,846   5,584 -738
4,897   5,198 -301
10,026   11,625 -1,599
11,051   11,202 -151
5,391   5,619 -228
14,136   9,188 4,948
5,478   5,604 -126
10,742   11,072 -330
15,417   9,955 5,462
4,094   3,979 115
2,437   1,915 522
10,032   10,624 -592
5,028   5,488 -460
5,262   5,611 -349
2,049   1,818 231
2,393   1,958 435
4,487   4,413 74
2,104   1,913 191
4,045   3,839 206
1,874   1,946 -72
3,238   3,615 -377
5,778   5,501 277
10,746   10,806 -60
4,800   5,617 -817
11,500   9,980 1,520
2,171   1,922 249
5,232   5,481 -249
11,294   10,648 646
5,444   5,453 -9
10,502   4,841 5,661
5,114   5,371 -257
12,083   11,306 777
2,578   1,825 753
5,105   4,452 653
1,960   1,843 117
1,950   1,951 -1
11,074   10,208 866
10,310   11,285 -975
2,019   1,831 188
4,761   5,133 -372
10,986   9,957 1,029
2,056   1,839 217
12,405   11,199 1,206
4,799   5,661 -862
5,489   5,380 109
4,948   5,573 -625
10,993   11,754 -761
5,472   5,600 -128
10,451   10,891 -440
5,300   5,196 104
4,000   3,876 124
5,362   5,805 -443
4,256   4,113 143
5,074   5,687 -613
1,741   1,853 -112
1,891   1,899 -8
5,709   4,747 962
11,611   11,368 243
1,962   1,970 -8
2,132   1,880 252
3,893   3,990 -97
12,460   11,562 898
6,010   4,493 1,517
2,161   1,953 208
5,266   4,446 820
10,491   11,333 -842
5,415   5,675 -260
5,137   5,275 -138
2,696   1,978 718
2,041   1,965 76
4,632   5,562 -930
10,988   11,310 -322
4,895   5,707 -812
11,056   11,948 -892
10,105   11,083 -978
4,093   4,050 43
5,199   5,252 -53
2,162   1,827 335
11,016   10,981 35
5,393   5,788 -395
10,978   10,901 77
5,018   4,223 795
9,821   11,745 -1,924
4,209   3,551 658
8,616   4,745 3,871
4,147   3,920 227
6,441   4,471 1,970
5,861   3,442 2,419
6,025   4,510 1,515
2,698   2,045 653
7,171   4,460 2,711
6,068   4,468 1,600
2,604   1,770 834
12,037   6,908 5,129
13,569   9,193 4,376
4,944   5,491 -547
3,897   3,975 -78
5,274   4,614 660
10,809   10,904 -95
10,649   9,772 877
5,342   5,285 57
5,245   5,578 -333
2,707   1,942 765
10,812   11,597 -785
2,665   2,039 626
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l) Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i) F.M.V. as of 12/31/69 (j) Adjusted basis
as of 12/31/69
(k) Excess of col. (i)
over col. (j), if any
a       16,848
b       12,099
c       4,660
d       43,420
e       2,261
      9,454
      3,597
      191
      443
      -999
      -2,152
      -738
      -301
      -1,599
      -151
      -228
      4,948
      -126
      -330
      5,462
      115
      522
      -592
      -460
      -349
      231
      435
      74
      191
      206
      -72
      -377
      277
      -60
      -817
      1,520
      249
      -249
      646
      -9
      5,661
      -257
      777
      753
      653
      117
      -1
      866
      -975
      188
      -372
      1,029
      217
      1,206
      -862
      109
      -625
      -761
      -128
      -440
      104
      124
      -443
      143
      -613
      -112
      -8
      962
      243
      -8
      252
      -97
      898
      1,517
      208
      820
      -842
      -260
      -138
      718
      76
      -930
      -322
      -812
      -892
      -978
      43
      -53
      335
      35
      -395
      77
      795
      -1,924
      658
      3,871
      227
      1,970
      2,419
      1,515
      653
      2,711
      1,600
      834
      5,129
      4,376
      -547
      -78
      660
      -95
      877
      57
      -333
      765
      -785
      626
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
Bracket 2 131,028
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 . . . . . . . . . . . . . . . .
Bracket 3 53,423
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)

If section 4940(d)(2) applies, leave this part blank.
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
If "Yes," the foundation does not qualify under section 4940(e). Do not complete this part.
1 Enter the appropriate amount in each column for each year; see instructions before making any entries.
(a)
Base period years Calendar
year (or tax year beginning in)
(b)
Adjusted qualifying distributions
(c)
Net value of noncharitable-use assets
(d)
Distribution ratio
(col. (b) divided by col. (c))
2013 769,726    
2012 74,395    
2011 45,920    
2010      
2009      
2 Total of line 1, column (d) ...................... 2  
3 Average distribution ratio for the 5-year base period—divide the total on line 2 by 5, or by
the number of years the foundation has been in existence if less than 5 years
. . .
3  
4 Enter the net value of noncharitable-use assets for 2014 from Part X, line 5..... 4  
5 Multiply line 4 by line 3....................... 5  
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 178
7 Add lines 5 and 6......................... 7 178
8 Enter qualifying distributions from Part XII, line 4.............. 8 26,700
If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate. See
the Part VI instructions.
Form 990-PF (2014)
Form 990-PF (2014)
Page 4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see page 18 of the instructions)
1a Bulletand enter “N/A" on line 1. Bracket
Date of ruling or determination letter: 2010-01-07(attach copy of letter if necessary–see instructions)
b 1 178
hereBulletand enter 1% of Part I, line 27b...................
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2  
3 Add lines 1 and 2........................... 3 178
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4  
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 178
6 Credits/Payments:
a 2014 estimated tax payments and 2013 overpayment credited to 2014 6a  
b Exempt foreign organizations—tax withheld at source....... 6b
c Tax paid with application for extension of time to file (Form 8868)... 6c  
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7  
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. 8  
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 178
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2015 estimated taxBullet   RefundedBullet 11  
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
 
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see Instructions
for definition)?.................................
1b
 
 
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
  • that conflict with the state law remain in the governing instrument?................
    6
     
    No
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletMI
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2014 or the taxable year beginning in 2014 (see instructions for Part XIV)?
    If "Yes," complete Part XIV.............................
    9
    Yes
     
    Form 990-PF (2014)
    Form 990-PF (2014)
    Page 5
    Part VII-A
    Statements Regarding Activities (continued)
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. Click to see attachment...............................
    10
    Yes
     
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. (see instructions) .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement (see instructions).................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletNONE
    14
    The books are in care ofbulletIFTIKHAR KHAN Telephone no.bullet (989) 992-9901
    Located atbullet4705 TOWNE CENTRE ROAD SUITE 302SAGINAWMI ZIP+4bullet48604
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041.........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ......bullet
    15  
    16 At any time during calendar year 2014, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country?
    16   No
    See instructions for exceptions and filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR). If "Yes", enter the name of the foreign country bullet  
    Form 990-PF (2014)
    Form 990-PF (2014)
    Page 6
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?........................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?.................
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).........
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance (see instructions)? ........
    1b
     
     
    .........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2014?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2014, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2014?...............
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?........................
    b
    If "Yes," did it have excess business holdings in 2014 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2014.)....................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2014?
    4b
     
    No
    5a
    During the year did the foundation pay or incur any amount to:
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?...............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? (see instructions)..................
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?........
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance (see instructions)? ......
    5b
     
     
    .........bullet
    c
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?............
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?.......................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    Form 990-PF (2014)
    Form 990-PF (2014)
    Page 7
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation (see instructions).
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation
    (If not paid, enter
    -0-)
    (d) Contributions to
    employee benefit plans
    and deferred compensation
    (e) Expense account,
    other allowances
    Iftikhar Khan Director
    005.00
    0    
    4705 Towne Center Road
    Saginaw,MI48604
    Saroosh Anwar Director
    000.00
    0    
    4705 Towne Center Road
    Saginaw,MI48604
    Waheed Akbar Director
    000.00
    0    
    4701 Towne Center Road
    Saginaw,MI48604
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation
    (e) Expense account,
    other allowances
     
    Total number of other employees paid over $50,000...................bullet  
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
     
    Total number of others receiving over $50,000 for professional services.............bullet  
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1 THE FOUNDATION DO NOT CARRY OUT ANY CHARITABLE ACTIVITES DIRECTLY. RATHER IT ACHIEVES ITS PROGRAM BY FUNDING OTHER CHARITABLE ORGANIZATION APPAROVED AND REGISTERED WITH INTERNAL REVENUE SERVICE 26,700
    2  
    3  
    4  
    Form 990-PF (2014)
    Form 990-PF (2014)
    Page 8
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1 INVESTMENT IN MARKETABLE SECURITIE - INCOME IS BEING USED TO CARRY OUT PROGRAM SVCS  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet  
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,
    see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
     
    b
    Average of monthly cash balances.......................
    1b
     
    c
    Fair market value of all other assets (see instructions)................
    1c
     
    d
    Total (add lines 1a, b, and c).........................
    1d
     
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
     
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
     
    3
    Subtract line 2 from line 1d.........................
    3
     
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
     
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
     
    6
    Minimum investment return. Enter 5% of line 5..................
    6
     
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
     
    2a
    Tax on investment income for 2014 from Part VI, line 5......
    2a
    178
    b
    Income tax for 2014. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    178
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    178
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    178
    6
    Deduction from distributable amount (see instructions).................
    6
     
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...
    7
    -178
    Part XII
    Qualifying Distributions (see instructions)
    1
    Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
    a
    Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 Click to see attachment..........
    1a
    26,700
    b
    Program-related investments—total from Part IX-B..................
    1b
     
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    26,700
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b (see instructions).................
    5
    178
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    26,522
    Note: The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for
    the section 4940(e) reduction of tax in those years.
    Form 990-PF (2014)
    Form 990-PF (2014)
    Page 9
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus
    (b)
    Years prior to 2013
    (c)
    2013
    (d)
    2014
    1 Distributable amount for 2014 from Part XI, line 7 -178
    2 Undistributed income, if any, as of the end of 2014:
    a Enter amount for 2013 only.......  
    b Total for prior years:20, 20, 20  
    3 Excess distributions carryover, if any, to 2014:
    a From 2009.......  
    b From 2010.......  
    c From 2011.......  
    d From 2012.......  
    e From 2013.......  
    fTotal of lines 3a through e.........  
    4Qualifying distributions for 2014 from Part
    XII, line 4: bullet$ 26,700
    a Applied to 2013, but not more than line 2a  
    b Applied to undistributed income of prior years
    (Election required—see instructions).....
     
    c Treated as distributions out of corpus (Election
    required—see instructions).........
     
    d Applied to 2014 distributable amount.....  
    e Remaining amount distributed out of corpus 26,700
    5 Excess distributions carryover applied to 2014.    
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 26,700
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ...........
     
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......
     
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........
     
    e Undistributed income for 2013. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
     
    f Undistributed income for 2014. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2015 ..........
    0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......
     
    8Excess distributions carryover from 2009 not
    applied on line 5 or line 7 (see instructions) ...
    178
    9Excess distributions carryover to 2015.
    Subtract lines 7 and 8 from line 6a ......
    26,522
    10 Analysis of line 9:
    a Excess from 2010....  
    b Excess from 2011....  
    c Excess from 2012....  
    d Excess from 2013....  
    e Excess from 2014.... 26,700
    Form 990-PF (2014)
    Form 990-PF (2014)
    Page 10
    Part XIV
    Private Operating Foundations (see instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2014, enter the date of the ruling.......bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........
    Tax year Prior 3 years (e) Total
    (a) 2014 (b) 2013 (c) 2012 (d) 2011
    0       0
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....
            0
    d Amounts included in line 2c not used
    directly for active conduct of exempt activities ...........
             
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....
             
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ...... 789,362 699,185 649,995 732,650 2,871,192
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)
    789,362 699,185 649,995 732,650 2,871,192
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...
             
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....
             
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....
    100,000 20,000 10,000 458,584 588,584
    (3) Largest amount of support
    from an exempt organization
    100,000 10,000 10,000 458,584 578,584
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the organization had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    IFTIKHAR KHAN
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    IFTIKHAR KHAN
    4705 TOWNE CENTRE ROAD SUITE 302
    SAGINAW,MI486042819
    (989) 992-9901
    bThe form in which applications should be submitted and information and materials they should include:
    HANDWRITEEN OR TYPE LETTER
    cAny submission deadlines:
    NONE
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    NONE
    Form 990-PF (2014)
    Form 990-PF (2014)
    Page 11
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    Foundation
    status of
    recipient
    Purpose of grant or
    contribution
    Amount
    Name and address (home or business)
    aPaid during the year
    Ruqiyya Khanum Society
    Dera Ghazi Khan
    Punjab    
    PK
    none NC Educationa/Health Care 20,100
    Chinar International
    11890 Sunrise Valey
    Reston,VA20190
    None NC Health Care 3,000
    Association of Pakistani Physician of NA
    6414 Cass Avenue
    West Mont,IL60559
    None POF Health Care 3,000
    Unity Production Foundation
    PO Box 650458
    Potomac Falls,VA20115
    None POF Arts/Culture 600
    Total .................................bullet 3a 26,700
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2014)
    Form 990-PF (2014)
    Page 12
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code
    (b)
    Amount
    (c)
    Exclusion code
    (d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3
    Interest on savings and temporary cash investments ............
             
    4 Dividends and interest from securities....          
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6
    Net rental income or (loss) from personal property .............
             
    7 Other investment income.....          
    8
    Gain or (loss) from sales of assets other than inventory .............
             
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e)..      
    13Total. Add line 12, columns (b), (d), and (e)..................
    13  
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow
    Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2014)
    Form 990-PF (2014)
    Page 13
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political
    Yes
    No
    organizations?
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527?...........
    b
    If "Yes," complete the following schedule.
    (a) Name of organization (b) Type of organization (c) Description of relationship
    Sign Here
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below
    (see instr.)?
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's namebullet



    Firm's addressbullet







    Firm's EINbullet
    Phone no.
    Form 990-PF (2014)
    Additional Data


    Software ID: 14000292
    Software Version: 14.4.1.0


    Form 990PF - Special Condition Description:
    Special Condition Description
    Schedule B
    (Form 990, 990-EZ,
    or 990-PF)
    Department of the Treasury
    Internal Revenue Service
    Schedule of Contributors
    Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
    Arrow Bullet Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.
    OMB No. 1545-0047
    2014
    Name of the organization
    Ruqiyya Khanum Foundation
     
    Employer identification number

    27-1725586
    Organization type (check one):
    Filers of:
    Section:
    Form 990 or 990-EZ





    Form 990-PF




    Check if your organization is covered by the General Rule or a Special Rule.  
    Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
    General Rule
    Special Rules
    ......... Arrow Bullet $  
    Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
    990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
    Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
    990-EZ, or 990-PF).
    For Paperwork Reduction Act Notice, see the Instructions
    for Form 990, 990-EZ, or 990-PF.
    Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2014)

    Schedule B (Form 990, 990-EZ, or 990-PF) (2014)
    Page 2
    Name of organization
    Ruqiyya Khanum Foundation
     
    Employer identification number

    27-1725586
    Part I
    Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
     
     
     

       
     
     

    $  


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
     
     
     

       
     
     

    $  


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
     
     
     

       
     
     

    $  


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
     
     
     

       
     
     

    $  


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
     
     
     

       
     
     

    $  


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
     
     
     

       
     
     

    $  


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

    Schedule B (Form 990, 990-EZ, or 990-PF) (2014)
    Page 3
    Name of organization
    Ruqiyya Khanum Foundation
     
    Employer identification number

    27-1725586
    Part II
    Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
    (a) No.
    from
    Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
     
    $    
    (a) No.
    from
    Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
     
    $    
    (a) No.
    from
    Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
     
    $    
    (a) No.
    from
    Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
     
    $    
    (a) No.
    from
    Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
     
    $    
    (a) No.
    from
    Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
     
    $    
    Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

    Schedule B (Form 990, 990-EZ, or 990-PF) (2014)
    Page 4
    Name of organization
    Ruqiyya Khanum Foundation
     
    Employer identification number

    27-1725586
    Part III
    Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10)
    that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
    Use duplicate copies of Part III if additional space is needed.
    (a) No.
    from
    Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a) No.
    from
    Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a) No.
    from
    Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a) No.
    from
    Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

    Additional Data


    Software ID: 14000292
    Software Version: 14.4.1.0

    TY 2014 AccountingFeesSchedule
    Name:
    Ruqiyya Khanum Foundation
    EIN: 27-1725586
    Software ID:14000292
    Software Version:14.4.1.0
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Certified Accounting Services, Inc. 750      

    Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

    TY 2014 GainLossSaleOtherAssetsSch
    Name:
    Ruqiyya Khanum Foundation
    EIN: 27-1725586
    Software ID:14000292
    Software Version:14.4.1.0
    Name Date Acquired How Acquired Date Sold Purchaser Name Gross Sales Price Basis Basis Method Sales Expenses Total (net) Accumulated Depreciation
    BARNES NOBLE 2013-09 P 2014-02   56,989 40,141     16,848  
    BARNES NOBLE 2013-12 P 2014-03   39,989 27,890     12,099  
    BARNES NOBLE 2014-05 P 2014-06   20,770 16,110     4,660  
    CITIGROUP 2009-02 D 2014-01   87,990 44,570     43,420  
    HEWLETT PACKARD 2010-11 D 2014-07   80,989 78,728     2,261  
    CITIGROUP INC 2009-10 D 2014-01   21,998 12,544     9,454  
    COMPUTER SCIENCES CORP 2010-03 D 2014-02   7,430 3,833     3,597  
    GOLDMAN SACHS GROUP 2010-03 D 2014-01   7,010 6,819     191  
    HALLWOOD GROUP 2010-11 D 2010-05   6,195 5,752     443  
    HEWLETT PACKARD 2010-11 D 2014-07   4,607 5,606     -999  
    JUNIPER NETWORKS 2010-03 D 2014-01   27,740 29,892     -2,152  
    ACCO BRANDS CORP 2014-08 P 2014-10   4,846 5,584     -738  
    ALLEGHENY TECHNLOGIES 2014-04 P 2014-09   4,897 5,198     -301  
    AMERICAN AXLE MGS HOLDINGS 2014-01 P 2014-02   10,026 11,625     -1,599  
    AMERICAN REALTY CAPAITAL 2014-01 P 2014-04   11,051 11,202     -151  
    AMERIAN TOWER CORP 2014-01 P 2014-03   5,391 5,619     -228  
    AMERPRISE FINL ICN COM 2013-02 P 2014-02   14,136 9,188     4,948  
    ANNALLY CAPITALMGMT 2014-03 P 2014-07   5,478 5,604     -126  
    ARCHER DANIELS MIDLAND 2014-04 P 2014-10   10,742 11,072     -330  
    ARRIS GROUP INC 2013-08 P 2014-04   15,417 9,955     5,462  
    AUTOZONE INC 2014-11 P 2014-12   4,094 3,979     115  
    BALL CORP 2014-02 P 2014-12   2,437 1,915     522  
    BANCO BRADESCIO S A ADR 2014-04 P 2014-10   10,032 10,624     -592  
    BANK OFAMERICA 2014-02 P 2014-04   5,028 5,488     -460  
    BARD C R INC 2014-03 P 2014-04   5,262 5,611     -349  
    BARD C R INC 2014-08 P 2014-12   2,049 1,818     231  
    BECTON 2014-02 P 2014-12   2,393 1,958     435  
    BED BATH BEYOND 2013-04 P 2014-01   4,487 4,413     74  
    BED BATH BEYOND 2014-09 P 2014-12   2,104 1,913     191  
    BRUNSWICK CORP 2014-10 P 2014-12   4,045 3,839     206  
    CF INDUSTRIES 2014-09 P 2014-12   1,874 1,946     -72  
    cf industries 2014-09 P 2014-12   3,238 3,615     -377  
    CAMERON INTERNATIONAL 2014-04 P 2014-08   5,778 5,501     277  
    CANADIAN NATURAL RESOURCES 2013-11 P 2014-01   10,746 10,806     -60  
    CARNIVAL CORP 2014-09 P 2014-10   4,800 5,617     -817  
    CHESAPEAKE ENERGY CORP 2013-05 P 2014-01   11,500 9,980     1,520  
    CISCO SYSTEMS 2014-05 P 2014-12   2,171 1,922     249  
    CITIGROUP 2014-01 P 2014-01   5,232 5,481     -249  
    CONTINENTAL RESOURCES 2014-04 P 2014-09   11,294 10,648     646  
    CUMMINS INC. 2014-02 P 2014-09   5,444 5,453     -9  
    FOREST LABS INC 2013-05 P 2014-04   10,502 4,841     5,661  
    HAEMONETICS CORP MASS COM 2013-12 P 2014-01   5,114 5,371     -257  
    HALLBURTON CO 2014-03 P 2014-10   12,090 11,306     784  
    HEWLETT PACKARD 2013-02 P 2014-02   2,578 1,825     753  
    HOME DEPOT 2013-02 P 2014-02   5,105 4,452     653  
    HOME DEPOT 2014-10 P 2014-12   1,960 1,843     117  
    HONEWELL INTERNATIONAL 2014-07 P 2014-12   1,950 1,951     -1  
    HUNTSMAN GROUP 2013-09 P 2014-01   11,074 10,208     866  
    HUNSTMAN GROUP 2014-05 P 2014-10   10,310 11,285     -975  
    INTERCONTINENTAL EXCHANGE 2014-10 P 2014-12   2,019 1,831     188  
    INTL BUSINESS MACHINES COM 2014-04 P 2014-05   4,781 5,133     -352  
    INTUIT INC. 2013-07 P 2014-02   10,986 9,957     1,029  
    JOHNSON JOHNSON 2014-04 P 2014-12   2,056 1,839     217  
    JUNIPER NETWORKS INC 2014-01 P 2014-03   12,405 11,199     1,206  
    KAPSTONE PAPER PACKAGING 2014-07 P 2014-10   4,799 5,661     -862  
    KELLOGG CO 2014-04 P 2014-06   5,489 5,380     109  
    LAM RESEARCH CORP 2014-01 P 2014-02   4,948 5,573     -625  
    LAM RESEARCH CORP 2014-03 P 2014-04   10,993 11,754     -761  
    LENNAR CORP 2014-01 P 2014-07   5,472 5,600     -128  
    MAXIM INTEGRATED PRODS 2014-02 P 2014-10   10,451 10,891     -440  
    MCDONALDS CORP 2014-04 P 2014-06   5,300 5,196     104  
    MCKESSON CORP 2014-11 P 2014-12   4,000 3,876     124  
    METLIFE INC 2014-06 P 2014-08   5,362 5,805     -443  
    MORGAN STANLEY 2014-09 P 2014-12   4,256 4,113     143  
    NETAPP INC 2014-01 P 2014-02   5,074 5,687     -613  
    NORFOLK SOUTHER CORP 2014-11 P 2014-12   1,741 1,853     -112  
    OMNICARE INC 2014-11 P 2014-12   1,891 1,899     -8  
    PPG INDUSTRIES 2013-05 P 2014-02   5,709 4,747     962  
    PERKINELMER INC 2014-02 P 2014-09   11,611 11,368     243  
    PETSMART INC 2014-11 P 2014-12   1,962 1,970     -8  
    RYDER SYSTEM INC 2014-04 P 2014-12   2,132 1,880     252  
    SALLY BEAUTY HOLDINGS 2014-11 P 2014-12   3,893 3,990     -97  
    SPANSION INC 2014-01 P 2014-10   12,460 11,562     898  
    STARBUCK CORP 2013-02 P 2014-01   6,010 4,493     1,517  
    STATE STREET CORP 2014-07 P 2014-12   2,161 1,953     208  
    STERICYCLE INC 2013-02 P 2014-01   5,266 4,446     820  
    SYNGENTA AG SPONSORED 2014-04 P 2014-06   10,491 11,333     -842  
    TERADYNE INC 2014-01 P 2014-04   5,415 5,675     -260  
    TESCOR CORP 2013-11 P 2014-01   5,137 5,275     -138  
    ESCOR CORP 2014-06 P 2014-12   2,696 1,978     718  
    TOTAL SYS SVCS INC. 2014-07 P 2014-12   2,041 1,965     76  
    TRAVEL CENTERS OF AMERICA 2014-08 P 2014-10   4,632 5,562     -930  
    UDR INC COM 2014-02 P 2014-03   10,988 11,310     -322  
    UNITED RENTALS CV COM 2014-08 P 2014-10   4,895 5,707     -812  
    UNUM PROVIDENT CORP 2014-09 P 2014-11   11,056 11,948     -892  
    VALEANT PHARMACEUTICALS 2014-04 P 2014-06   10,105 11,083     -978  
    VALEANT PHARMACEUTICALS 2014-11 P 2014-12   4,093 4,050     43  
    VARIAN MEDICAL SYSTEMS 2013-12 P 2014-04   5,199 5,252     -53  
    WESTERN DIGITAL CORP 2014-04 P 2014-12   2,162 1,827     335  
    WYNDHAM WORLDWIDE CORP 2013-11 P 2014-03   11,016 10,981     35  
    YUMI BRANDS INC 2014-06 P 2014-07   5,393 5,788     -395  
    ZIMMER HOLDINGS 2013-12 P 2014-03   10,978 10,901     77  
    ACTAVIS PLC ORD 2014-07 P 2014-12   5,018 4,223     795  
    COSAN LTD 2014-06 P 2014-08   9,821 11,745     -1,924  
    HOLLSYS AUTOMATION TECH LTD 2014-04 P 2014-12   4,209 3,551     658  
    JAZZ PHARMACEUTICALS 2013-07 P 2014-03   8,616 4,745     3,871  
    CIMPRESS NV 2014-11 P 2014-12   4,147 3,920     227  
    AMERICAN EXPRESS 2013-02 P 2014-09   6,441 4,471     1,970  
    APPLE INC 2013-09 P 2014-12   5,861 3,442     2,419  
    FIDELITY NATIONAL 2013-03 P 2014-04   6,025 4,510     1,515  
    GOOGLE INC 2013-03 P 2014-04   2,698 2,045     653  
    MCKESSON CORP 2013-02 P 2014-04   7,171 4,460     2,711  
    TORO CO COM 2013-02 P 2014-07   6,068 4,468     1,600  
    UNION PAC CORP 2013-11 P 2014-12   2,604 1,770     834  
    VALEANT PHARMACEUTICALS INTL 2013-02 P 2014-04   12,037 6,908     5,129  
    REMTAOR TD 2013-02 P 2014-04   13,569 9,193     4,376  
    D R HORTON INC 2014-02 P 2014-03   4,944 5,491     -547  
    DICKS SPORTING GOODS 2014-11 P 2014-12   3,897 3,975     -78  
    DOLLAR GENERAL CORP 2013-04 P 2014-01   5,274 4,614     660  
    DOW CHEMICAL COM 2014-02 P 2014-10   10,809 10,904     -95  
    ENDOLOGIX INC 2014-02 P 2014-01   10,649 9,772     877  
    EXPRESS SCRIPTS HOLDINGS 2013-11 P 2014-04   5,342 5,285     57  
    F M C CORP 2014-03 P 2014-04   5,245 5,578     -333  
    F5 CORP 2014-01 P 2014-12   2,707 1,942     765  
    FOMOSAR CPR 2014-03 P 2014-04   10,812 11,597     -785  
    GOOGLE INC 2013-03 P 2014-04   2,665 2,039     626  

    TY 2014 GeneralExplanationAttachment
    Name:
    Ruqiyya Khanum Foundation
    EIN: 27-1725586
    Software ID:14000292
    Software Version:14.4.1.0
    Identifier Return Reference Explanation

    TY 2014 InvestmentsOtherSchedule2
    Name:
    Ruqiyya Khanum Foundation
    EIN: 27-1725586
    Software ID:14000292
    Software Version:14.4.1.0
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    INVESTMENT IN MARKETABLE SECURITIES FMV 595,665 720,431

    TY 2014 OtherExpensesSchedule
    Name:
    Ruqiyya Khanum Foundation
    EIN: 27-1725586
    Software ID:14000292
    Software Version:14.4.1.0
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Bank fees 175      


    TY 2014 OtherIncomeSchedule2
    Name:
    Ruqiyya Khanum Foundation
    EIN: 27-1725586
    Software ID:14000292
    Software Version:14.4.1.0
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    LESS ICOME ON STOCKS SOLD IN2014 RECORDED EARLIER -128,779 -128,752  


    TY 2014 SubstantialContributorsSch
    Name:
    Ruqiyya Khanum Foundation
    EIN: 27-1725586
    Software ID:14000292
    Software Version:14.4.1.0
    Name Address
     
     
    4705 TOWN CENTER
    SAGINAW,MI48604


    TY 2014 TaxesSchedule
    Name:
    Ruqiyya Khanum Foundation
    EIN: 27-1725586
    Software ID:14000292
    Software Version:14.4.1.0
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes