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Form 3922 Data Fields

Data fields for Form 3922 are listed in the table below. For the most up-to-date information you should also consult the statement documentation available in GraphQL.

Identifier Type Description Years Used Sample Value Notes
accountNumber text Shown in unnumbered box labeled Account number (see instructions). 2018-2021 "1234-5678"
corrected boolean True for corrected forms; the corrected box at the top of the form is checked if this is true. Shown in unnumbered box labeled CORRECTED. 2018-2021 true
dateOptionExercised date Shown in box number 2 labeled Date option exercised. 2018-2021 "2019-06-01"
dateOptionGranted date Shown in box number 1 labeled Date option granted. 2018-2021 "2019-01-01"
dateTitleTransferred date Shown in box number 7 labeled Date legal title transferred. 2018-2021 "2019-06-01"
exercisePpsIfOptionExercisedGrantDate money Shown in box number 8 labeled Exercise price per share determined as if the option date was exercised on the date shown in box 1. 2018-2021 "12345.67"
exercisePricePerShare money Shown in box number 5 labeled Exercise price paid per share. 2018-2021 "100.0"
fmvExerciseDate money Shown in box number 4 labeled Fair market value per share on exercise date. 2018-2021 "210.0"
fmvGrantDate money Shown in box number 3 labeled Fair market value per share on grant date. 2018-2021 "200.0"
numberSharesTransferred integer Shown in box number 6 labeled Number of shares transferred. 2018-2021 500
recipientAddress1 text First line of the employee's address. Part of information shown in unnumbered box labeled EMPLOYEE'S name, street address, city or town, state or province, country, and ZIP or foreign postal code. 2018-2021 "784 East 77th Street" Recipient is referred to as employee on form.
recipientAddress2 text Second line of the employee's address, if any. Part of information shown in unnumbered box labeled EMPLOYEE'S name, street address, city or town, state or province, country, and ZIP or foreign postal code. 2018-2021 "Apt. 5J" Recipient is referred to as employee on form.
recipientAddress3 text Third line of employee's address. Use for foreign addresses only. For foreign addresses, complete this field and leave city, state, and zip code blank. Part of information shown in unnumbered box labeled EMPLOYEE'S name, street address, city or town, state or province, country, and ZIP or foreign postal code. 2018-2021 "Toronto ON M4Y 1J7" Recipient is referred to as employee on form.
recipientCity text Employee's city. Part of information shown in unnumbered box labeled EMPLOYEE'S name, street address, city or town, state or province, country, and ZIP or foreign postal code. 2018-2021 "New York" Recipient is referred to as employee on form.
recipientEntityName text Name of company or other entity receiving the form. Complete this field only if the recipient is not a person. For people, use first name, last name, and, optionally, middle name and suffix. Part of information shown in unnumbered box labeled EMPLOYEE'S name, street address, city or town, state or province, country, and ZIP or foreign postal code. 2018-2021 "Flemings Gourmet Foods" Recipient is referred to as employee on form.
recipientFirstName text Employee's first name. Part of information shown in unnumbered box labeled EMPLOYEE'S name, street address, city or town, state or province, country, and ZIP or foreign postal code. 2018-2021 "Leif" Recipient is referred to as employee on form.
recipientLastName text Employee's last name. Part of information shown in unnumbered box labeled EMPLOYEE'S name, street address, city or town, state or province, country, and ZIP or foreign postal code. 2018-2021 "Babson" Recipient is referred to as employee on form.
recipientMiddleName text Employee's middle name or initial, if provided. Part of information shown in unnumbered box labeled EMPLOYEE'S name, street address, city or town, state or province, country, and ZIP or foreign postal code. 2018-2021 "Augustus" Recipient is referred to as employee on form.
recipientNameSuffix text Name suffix for employee (Jr., Sr. III, etc), if provided. Part of information shown in unnumbered box labeled EMPLOYEE'S name, street address, city or town, state or province, country, and ZIP or foreign postal code. 2018-2021 "Jr." Recipient is referred to as employee on form.
recipientState state Employee's state. Part of information shown in unnumbered box labeled EMPLOYEE'S name, street address, city or town, state or province, country, and ZIP or foreign postal code. 2018-2021 "NY" Recipient is referred to as employee on form.
recipientTin tin Employee's social security number or other TIN. Shown in unnumbered box labeled EMPLOYEE'S identification number. 2018-2021 "200213492" Recipient is referred to as employee on form.
recipientTinType character Type of taxpayer identification number (TIN). Valid values are '1' for EIN or '2' for any other type of TIN, including SSN. When not supplied, the TIN is formatted as an SSN on the statement. 2018-2021 "2" Recipient is referred to as employee on form.
recipientZipCode zip_code Employee's zip code. Part of information shown in unnumbered box labeled EMPLOYEE'S name, street address, city or town, state or province, country, and ZIP or foreign postal code. 2018-2021 "10162" Recipient is referred to as employee on form.
senderAddress1 text First line of the corporation's address. Part of information shown in unnumbered box labeled CORPORATION'S name, street address, city or town, state or province, country, and ZIP or foreign postal code. 2018-2021 "179 N. 13th Street" Sender is referred to as corporation on form.
senderAddress2 text Second line of the corporation's address. Part of information shown in unnumbered box labeled CORPORATION'S name, street address, city or town, state or province, country, and ZIP or foreign postal code. 2018-2021 "Suite 14C" Sender is referred to as corporation on form.
senderCity text Corporation's city. Part of information shown in unnumbered box labeled CORPORATION'S name, street address, city or town, state or province, country, and ZIP or foreign postal code. 2018-2021 "Brooklyn" Sender is referred to as corporation on form.
senderName text Corporation's name. Part of information shown in unnumbered box labeled CORPORATION'S name, street address, city or town, state or province, country, and ZIP or foreign postal code. 2018-2021 "Big Apple Analytics" Sender is referred to as corporation on form.
senderState state Corporation's state. Part of information shown in unnumbered box labeled CORPORATION'S name, street address, city or town, state or province, country, and ZIP or foreign postal code. 2018-2021 "NY" Sender is referred to as corporation on form.
senderTin tin Corporation's EIN. Shown in unnumbered box labeled CORPORATION'S federal identification number. 2018-2021 "101123456" Sender is referred to as corporation on form.
senderZipCode zip_code Corporation's ZIP code. Part of information shown in unnumbered box labeled CORPORATION'S name, street address, city or town, state or province, country, and ZIP or foreign postal code. 2018-2021 "11249" Sender is referred to as corporation on form.