Instructions for Forms 3921 and 3922 - Introductory Material Future Developments Whats New On-line pdf fillable Copies B, C, and D of Form 3921. Reminder Instructions for Forms 3921 and 3922 - Main Contents Specific Instructions for Form 3921 Who Must File Exception. Statements to Transferees Truncating recipients TIN on payee statements. Employee's Name, Address, and TIN Account Number Box 1. Date Option Granted Box 2. Date Option Exercised Box 3. Exercise Price Per Share Box 4. Fair Market Value Per Share on Exercise Date Box 5. Number of Shares Transferred Box 6. If Other Than TRANSFEROR, Name, Address, and TIN of Corporation Whose Stock Is Being Transferred Specific Instructions for Form 3922 Who Must File Exception. Statements to Transferors Truncating recipients TIN on payee statements. Employee's Name, Address, and TIN Account Number Box 1. Date Option Granted Box 2. Date Option Exercised Box 3. Fair Market Value Per Share on Grant Date Box 4. Fair Market Value Per Share on Exercise Date Box 5. Exercise Price Paid Per Share Box 6. Number of Shares Transferred Box 7. Date Legal Title Transferred Box 8. Exercise Price Per Share Determined as if the Option Was Exercised on the Date Shown in Box 1 Instructions for Forms 3921 and 3922 (10/2017) Exercise of an Incentive Stock Option Under Section 422(b) and Transfer of Stock Acquired Through an Employee Stock Purchase Plan Under Section 423(c) Section references are to the Internal Revenue Code unless otherwise noted. Revised: 10/2017 Instructions for Forms 3921 and 3922 - Introductory Material Future Developments For the latest information about developments related to Forms 3921 and 3922 and their instructions, such as legislation enacted after they were published, go to IRS.gov/Form3921 or IRS.gov/Form3922. What’s New On-line pdf fillable Copies B, C, and D of Form 3921. To ease statement furnishing requirements, Copies B, C, and D of Form 3921 have been made fillable on-line in a pdf format, available at IRS.gov/Form3921. Reminder In addition to these specific instructions, you should also use the current version of the General Instructions for Certain Information Returns. Those general instructions include information about the following topics. Who must file (nominee/middleman). When and where to file. Electronic reporting requirements. Corrected and void returns. Statements to recipients. Taxpayer identification numbers (TINs). Backup withholding. Penalties. Other general topics. You can get the General Instructions for Certain Information Returns at IRS.gov/Form1099 or go to IRS.gov/Form3921 or IRS.gov/Form3922. Instructions for Forms 3921 and 3922 - Main Contents Specific Instructions for Form 3921 Who Must File Every corporation which in any calendar year transfers to any person a share of stock pursuant to that person's exercise of an incentive stock option described in section 422(b) must, for that calendar year, file Form 3921 for each transfer made during that year. Exception. A Form 3921 is not required for the exercise of an incentive stock option by an employee who is a nonresident alien (as defined in section 7701(b)) and to whom the corporation is not required to provide a Form W-2, Wage and Tax Statement, for any calendar year within the time period beginning with the first day of the calendar year in which the option was granted to the employee and ending on the last day of the calendar year in which the employee exercised the option. For this purpose, the term "corporation" is defined in section 7701(a) and includes, but is not limited to: The corporation issuing the stock, A related corporation of the corporation, Any agent of the corporation, Any party distributing shares of stock or other payments in connection with the plan (for example, a brokerage firm), and Any party in control of the payment of remuneration for employment to the employee. Statements to Transferees If you are required to file Form 3921, you must furnish a statement to the person whose name is set forth on Form 3921. For more information, see part M in the current version of the General Instructions for Certain Information Returns. Truncating recipient’s TIN on payee statements. Pursuant to Treasury Regulations section 301.6109-4, all filers of this form may truncate a recipient’s TIN (social security number (SSN), individual taxpayer identification number (ITIN), adoption taxpayer identification number (ATIN), or employer identification number (EIN) on payee statements. Truncation is not allowed on any documents the filer files with the IRS. A payer’s TIN may not be truncated on any form. See part J in the current version of the General Instructions for Certain Information Returns. Employee's Name, Address, and TIN Enter the name, address, and TIN of the person to whom the share or shares were transferred pursuant to the exercise of the option. Account Number The account number is required if you have multiple accounts for a person for whom you are filing more than one Form 3921. Additionally, the IRS encourages you to designate an account number for all Forms 3921 that you file. See part L in the current version of the General Instructions for Certain Information Returns. Box 1. Date Option Granted Enter the date the option was granted. Box 2. Date Option Exercised Enter the date the option was exercised. Box 3. Exercise Price Per Share Enter the exercise price per share of stock. Box 4. Fair Market Value Per Share on Exercise Date Enter the fair market value (FMV) per share of stock on the date the option was exercised. Box 5. Number of Shares Transferred Enter the number of shares of stock transferred pursuant to the exercise of the option. Box 6. If Other Than TRANSFEROR, Name, Address, and TIN of Corporation Whose Stock Is Being Transferred Enter the name, address, and TIN of the corporation whose stock is being transferred pursuant to the exercise of the option. Enter this information only if the corporation is not the entity shown in the TRANSFEROR boxes in the upper left corner of Form 3921. Specific Instructions for Form 3922 Who Must File Every corporation, which in any calendar year records, or has by its agent recorded, a transfer of the legal title of a share of stock acquired by the transferor (person who acquires the shares pursuant to the exercise of the option) pursuant to the transferor's exercise of an option granted under an employee stock purchase plan and described in section 423(c) (where the exercise price is less than 100% of the value of the stock on the date of grant, or is not fixed or determinable on the date of grant), must, for that calendar year, file Form 3922 for each transfer made during that year. A return is required by reason of a transfer described in section 6039(a)(2) only for the first transfer of legal title of the shares by the transferor, including the first transfer of legal title to a recognized broker or financial institution. If a contractual agreement exists or is entered into with a recognized broker or financial institution pursuant to which shares acquired upon exercise of the option will be immediately deposited into a brokerage account established on behalf of the transferor, then the deposit of shares by the transferor into the brokerage account following the exercise of the option is the first transfer of legal title of the shares acquired by the transferor, and the corporation is only required to file a return relating to that transfer of legal title. Shares of stock transferred as a result of the exercise of an option described above must be identified in a manner sufficient to enable the accurate reporting of the transfer of legal title to such shares. This identification can be made by assigning to the share certificates of stock issued pursuant to such options a special serial number or color. The corporation whose stock is being transferred must file Form 3922. Exception. A Form 3922 is not required for the first transfer of legal title of a share of stock by an employee who is a nonresident alien (as defined in section 7701(b)) and to whom the corporation is not required to provide a Form W-2, Wage and Tax Statement, for any calendar year within the time period beginning with the first day of the calendar year in which the option was granted to the employee and ending on the last day of the calendar year in which the employee first transferred legal title to shares acquired under the option. For this purpose, the term "corporation" is defined in section 7701(a) and includes, but is not limited to: The corporation issuing the stock, A related corporation of the corporation, Any agent of the corporation, Any party distributing shares of stock or other payments in connection with the plan (for example, a brokerage firm), and Any party in control of the payment of remuneration for employment to the employee. Statements to Transferors If you are required to file Form 3922, you must furnish a statement to the transferor. For more information, see part M in the current version of the General Instructions for Certain Information Returns. Truncating recipient’s TIN on payee statements. Pursuant to Treasury Regulations section 301.6109-4, all filers of this form may truncate a recipient’s TIN (social security number (SSN), individual taxpayer identification number (ITIN), adoption taxpayer identification number (ATIN), or employer identification number (EIN) on payee statements. Truncation is not allowed on any documents the filer files with the IRS. A payer’s TIN may not be truncated on any form. See part J in the current version of the General Instructions for Certain Information Returns. Employee's Name, Address, and TIN Enter the name, address, and TIN of the transferor. Account Number The account number is required if you have multiple accounts for a transferor for whom you are filing more than one Form 3922. Additionally, the IRS encourages you to designate an account number for all Forms 3922 that you file. See part L in the current version of the General Instructions for Certain Information Returns. Box 1. Date Option Granted Enter the date the option was granted. Box 2. Date Option Exercised Enter the date the option was exercised. Box 3. Fair Market Value Per Share on Grant Date Enter the fair market value (FMV) per share of stock on the date the option was granted. Box 4. Fair Market Value Per Share on Exercise Date Enter the FMV per share of stock on the date the option to purchase the stock was exercised. Box 5. Exercise Price Paid Per Share Enter the price paid per share on the date the option was exercised. Box 6. Number of Shares Transferred Enter the number of shares to which legal title was transferred. Box 7. Date Legal Title Transferred Enter the date legal title of the shares was first transferred. Box 8. Exercise Price Per Share Determined as if the Option Was Exercised on the Date Shown in Box 1 If the exercise price per share was not fixed or determinable on the date of grant entered in box 1, enter the exercise price per share determined as if the option was exercised on the date of grant entered in box 1. If the exercise price per share is fixed or determinable on the date of grant entered in box 1, then leave box 8 blank.
