Federal Free Printable Form 3922 (Rev. September 2016) for 2017 Federal Transfer of Stock Acquired Through an Employee Stock Purchase Plan Under Section 423(c)

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Transfer of Stock Acquired Through an Employee Stock Purchase Plan Under Section 423(c)
Form 3922 (Rev. September 2016)

2626 VOID CORRECTED CORPORATION'S name, street address, city or town, state or province, country, and ZIP or foreign postal code OMB No. 1545-2129 1 Date option granted Form 3922 2 Date option exercised (Rev. September 2016) CORPORATION'S federal identification number EMPLOYEE’S identification number 3 Fair market value per share on grant date $ EMPLOYEE’S name 5 Exercise price paid per share 4 Fair market value per share on exercise date $ 6 No. of shares transferred $ City or town, state or province, country, and ZIP or foreign postal code 8 Exercise price per share determined as if the option was exercised on the date shown in box 1 Account number (see instructions) $ Form 3922 (Rev. 9-2016) Cat. No. 41180P www.irs.gov/form3922 Copy A For Internal Revenue Service Center File with Form 1096. 7 Date legal title transferred Street address (including apt. no.) Transfer of Stock Acquired Through an Employee Stock Purchase Plan Under Section 423(c) For Privacy Act and Paperwork Reduction Act Notice, see the current version of the General Instructions for Certain Information Returns. Department of the Treasury - Internal Revenue Service Do Not Cut or Separate Forms on This Page — Do Not Cut or Separate Forms on This Page CORRECTED CORPORATION'S name, street address, city or town, state or province, country, and ZIP or foreign postal code OMB No. 1545-2129 1 Date option granted Form 3922 2 Date option exercised (Rev. September 2016) CORPORATION'S federal identification number EMPLOYEE’S identification number 3 Fair market value per share on grant date $ EMPLOYEE’S name 5 Exercise price paid per share 4 Fair market value per share on exercise date $ 6 No. of shares transferred $ 7 Date legal title transferred Street address (including apt. no.) Transfer of Stock Acquired Through an Employee Stock Purchase Plan Under Section 423(c) Copy B For Employee This is important tax information and is being furnished to the Internal Revenue Service. City or town, state or province, country, and ZIP or foreign postal code 8 Exercise price per share determined as if the option was exercised on the date shown in box 1 Account number (see instructions) $ Form 3922 (Rev. 9-2016) (keep for your records) www.irs.gov/form3922 Department of the Treasury - Internal Revenue Service Instructions for Employee You have received this form because (1) your employer (or its transfer agent) has recorded a first transfer of legal title of stock you acquired pursuant to your exercise of an option granted under an employee stock purchase plan, and (2) the exercise price was less than 100% of the value of the stock on the date shown in box 1 or was not fixed or determinable on that date. No income is recognized when you exercise an option under an employee stock purchase plan. However, you must recognize (report) gain or loss on your tax return for the year in which you sell or otherwise dispose of the stock. Keep this form and use it to figure the gain or loss. For more information, see Pub. 525. Account number. May show an account or other unique number your employer or transfer agent assigned to distinguish your account. Box 1. Shows the date the option to purchase the stock was granted to you. Box 2. Shows the date you exercised the option to purchase the stock. Box 3. Shows the fair market value (FMV) per share on the date the option to purchase the stock was granted to you. Box 4. Shows the FMV per share on the date you exercised the option to purchase the stock. Box 5. Shows the price paid per share on the date you exercised the option to purchase the stock. Box 6. Shows the number of shares to which legal title was transferred by you. Box 7. Shows the date legal title of the shares was first transferred by you. Box 8. If the exercise price per share was not fixed or determinable on the date entered in box 1, box 8 shows the exercise price per share determined as if the option was exercised on the date in box 1. If the exercise price per share was fixed or determinable on the date shown in box 1, then box 8 will be blank. Future developments. For the latest information about developments related to Form 3922 and its instructions, such as legislation enacted after they were published, go to www.irs.gov/form3922. VOID CORRECTED CORPORATION'S name, street address, city or town, state or province, country, and ZIP or foreign postal code OMB No. 1545-2129 1 Date option granted Form 3922 2 Date option exercised (Rev. September 2016) CORPORATION'S federal identification number EMPLOYEE’S identification number EMPLOYEE’S name 3 Fair market value per share on grant date $ 5 Exercise price paid per share 4 Fair market value per share on exercise date $ 6 No. of shares transferred $ Street address (including apt. no.) 7 Date legal title transferred City or town, state or province, country, and ZIP or foreign postal code Account number (see instructions) 8 Exercise price per share determined as if the option was exercised on the date shown in box 1 $ Form 3922 (Rev. 9-2016) www.irs.gov/form3922 Transfer of Stock Acquired Through an Employee Stock Purchase Plan Under Section 423(c) Copy C For Corporation This copy should be retained by the corporation. For Privacy Act and Paperwork Reduction Act Notice, see the current version of the General Instructions for Certain Information Returns. Department of the Treasury - Internal Revenue Service Instructions for Corporation To complete Form 3922, use: • The current General Instructions for Certain Information Returns, and • The current Instructions for Forms 3921 and 3922. To get or to order these instructions, go to www.irs.gov/form3922. Due dates. Furnish Copy B of this form to the employee by January 31 of the year following the year of first transfer of the stock acquired through the employee stock purchase plan. File Copy A of this form with the IRS by February 28 of the year following the year of first transfer of the stock acquired through the employee stock purchase plan. If you file electronically, the due date is March 31 of the year following the year of first transfer of the stock acquired through the employee stock purchase plan. To file electronically, you must have software that generates a file according to the specifications in Pub. 1220. Need help? If you have questions about reporting on Form 3922, call the information reporting customer service site toll free at 1-866-455-7438 or 304-263-8700 (not toll free). Persons with a hearing or speech disability with access to TTY/TDD equipment can call 304-579-4827 (not toll free).
Extracted from PDF file 2016-federal-form-3922.pdf, last modified September 2016

More about the Federal Form 3922 Corporate Income Tax TY 2016

We last updated the Transfer of Stock Acquired Through an Employee Stock Purchase Plan Under Section 423(c) in May 2017, so this is the latest version of Form 3922, fully updated for tax year 2016. You can download or print current or past-year PDFs of Form 3922 directly from TaxFormFinder. You can print other Federal tax forms here.

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Form Sources:

The Internal Revenue Service usually releases income tax forms for the current tax year between October and January, although changes to some forms can come even later. We last updated Federal Form 3922 from the Internal Revenue Service in May 2017.

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About the Corporate Income Tax

The IRS and most states require corporations to file an income tax return, with the exact filing requirements depending on the type of company.

Sole proprietorships or disregarded entities like LLCs are filed on Schedule C (or the state equivalent) of the owner's personal income tax return, flow-through entities like S Corporations or Partnerships are generally required to file an informational return equivilent to the IRS Form 1120S or Form 1065, and full corporations must file the equivalent of federal Form 1120 (and, unlike flow-through corporations, are often subject to a corporate tax liability).

Additional forms are available for a wide variety of specific entities and transactions including fiduciaries, nonprofits, and companies involved in other specific types of business.

Historical Past-Year Versions of Federal Form 3922

We have a total of five past-year versions of Form 3922 in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:


2016 Form 3922

Form 3922 (Rev. September 2016)

Transfer of Stock Acquired Through an Employee Stock Purchase Plan Under Section 423(c) 2015 Form 3922

Form 3922 (Rev. August 2013)

Transfer of Stock Acquired Through an Employee Stock Purchase Plan Under Section 423(c) 2013 Form 3922

Form 3922 (Rev. August 2013)

Transfer of Stock Acquired Through An Employee Stock Purchase Plan Under Section 423(c) 2012 Form 3922

Form 3922 (Rev. October 2010)

Transfer of Stock Acquired Through An Employee Stock Purchase Plan Under Section 423(c) 2011 Form 3922

Form 3922 (Rev. October 2010)


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