Form 3922 - Transfer Of Stock Acquired Through An Employee Stock Purchase Plan Under Section 423(C) Page 3

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Instructions for Employee
Box 3. Shows the fair market value (FMV) per share on the
You have received this form because (1) your employer (or its
transfer agent) has recorded a first transfer of legal title of
date the option to purchase the stock was granted to you.
stock you acquired pursuant to your exercise of an option
Box 4. Shows the FMV per share on the date you exercised
granted under an employee stock purchase plan, and (2) the
the option to purchase the stock.
exercise price was less than 100% of the value of the stock on
Box 5. Shows the price paid per share on the date you
the date shown in box 1 or was not fixed or determinable on
exercised the option to purchase the stock.
that date.
Box 6. Shows the number of shares to which legal title was
No income is recognized when you exercise an option
transferred by you.
under an employee stock purchase plan. However, you must
Box 7. Shows the date legal title of the shares was first
recognize (report) gain or loss on your tax return for the year in
transferred by you.
which you sell or otherwise dispose of the stock. Keep this
form and use it to figure the gain or loss. For more information,
Box 8. If the exercise price per share was not fixed or
see Pub. 525.
determinable on the date entered in box 1, box 8 shows the
exercise price per share determined as if the option was
Account number. May show an account or other unique
exercised on the date in box 1. If the exercise price per share
number your employer or transfer agent assigned to
was fixed or determinable on the date shown in box 1, then
distinguish your account.
box 8 will be blank.
Box 1. Shows the date the option to purchase the stock was
Future developments. For the latest information about
granted to you.
developments related to Form 3922 and its instructions, such
Box 2. Shows the date you exercised the option to purchase
as legislation enacted after they were published, go to
the stock.

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