Form 3921 - Exercise Of An Incentive Stock Option Under Section 422(B) Page 6

ADVERTISEMENT

VOID
CORRECTED
TRANSFEROR'S name, street address, city or town, state or province, country, and
1 Date option granted
OMB No. 1545-2129
Exercise of an
ZIP or foreign postal code
Form 3921
Incentive Stock
Option Under
2 Date option exercised
Section 422(b)
(Rev. August 2013)
Copy D
TRANSFEROR'S federal identification number
EMPLOYEE’S identification number
3 Exercise price per share
4 Fair market value per share
on exercise date
For Transferor
$
$
EMPLOYEE’S name
For Privacy Act and
5 No. of shares transferred
Paperwork
Reduction Act
Street address (including apt. no.)
6 If other than TRANSFEROR, name, address, and EIN of
Notice, see the
corporation whose stock is being transferred
current version of
the General
City or town, state or province, country, and ZIP or foreign postal code
Instructions for
Certain Information
Returns.
Account number (see instructions)
3921
Form
(Rev. August 2013)
Department of the Treasury - Internal Revenue Service

ADVERTISEMENT

00 votes

Related Articles

Top 20 Happy Easter Cards And Gift Tags To Download For Free
Top Ten Easter Arts And Crafts Activities For Your Kids
Free Easter Coloring Pages And Easter Printables For Your Kids

Related forms

Form 3921 - Exercise Of An Incentive Stock Option Under Section 422(b) Form 3921 - Exercise Of An Incentive Stock Option Under Section 422(b) Financial
Form 3921 - Exercise Of An Incentive Stock Option Under Section 422(b) Form 3921 - Exercise Of An Incentive Stock Option Under Section 422(b) Financial
Form 3921 - Exercise Of An Incentive Stock Option Under Section 422(b) Form 3921 - Exercise Of An Incentive Stock Option Under Section 422(b) Financial
Form 3921 - Exercise Of An Incentive Stock Option Under Section 422(b) Form 3921 - Exercise Of An Incentive Stock Option Under Section 422(b) Financial
Form 3921 Exercise Of An Incentive Stock Option Under Section 422 Form 3921 Exercise Of An Incentive Stock Option Under Section 422 Financial
Form 3921 Exercise Of An Incentive Stock Option Under Section 422 Form 3921 Exercise Of An Incentive Stock Option Under Section 422 Financial
Form 3921 - Exercise Of An Incentive Stock Option Under Section 422b - Black Form 3921 - Exercise Of An Incentive Stock Option Under Section 422b - Black Financial
Form 3921 - Exercise Of An Incentive Stock Option Under Section 422b - Red Form 3921 - Exercise Of An Incentive Stock Option Under Section 422b - Red Financial
Form 15/a - Certification And Notice Of Termination Of Registration Under Section 12(g) Of The Securities Exchange Act Of 1934 Or Suspension Of Duty To File Reports Under Sections 13 And 15(d) Of The Securities Exchange Act Of 1934 Form 15/a - Certification And Notice Of Termination Of Registration Under Section 12(g) Of The Securities Exchange Act Of 1934 Or Suspension Of Duty To File Reports Under Sections 13 And 15(d) Of The Securities Exchange Act Of 1934 Legal
Form Mcs-90 - Endorsement For Motor Carrier Policies Of Insurance For Public Liability Under Sections 29 And 30 Of The Motor Carrier Act Of 1980 Form Mcs-90 - Endorsement For Motor Carrier Policies Of Insurance For Public Liability Under Sections 29 And 30 Of The Motor Carrier Act Of 1980 Legal

Related Categories

Parent category: Financial
Download
Go
Page of 7