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Get IRS 3922 2016

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 P.

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