2025 Printable Template
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Form last updated: 03/2024. Please verify this is the current version before use.
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Step 01
Access the form in the PDF editor.
Step 02
Fill in the corporation's name, address, and employee's TIN.
Step 03
Enter the date the option was granted in Box 1.
Step 04
Input the exercise date in Box 2.
Step 05
Provide fair market values in Boxes 3 and 4.
Step 06
Enter the exercise price per share in Box 5.
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