Additional Information About Online Access to Form 3921/3922
Last year the Internal Revenue Service began requiring that a special form, Form 3921, reporting details
of incentive-stock-option (ISO) exercises during the calendar year be provided to all US employees with a
copy also provided to the Internal Revenue Service. The intent of the new requirement was to provide
employees with all the information necessary to correctly report the eventual sale of shares acquired
through the exercise of ISOs. If you exercised ISOs in 20XX, you should have received a paper form
reporting details of those exercises that looked similar to the sample form inserted in the email that
included this attachment.
Last year the Internal Revenue Service began requiring that a special form, Form 3922, reporting details
of employee stock purchase plan (ESPP) transfers during the calendar year be provided to all US
employees with a copy also provided to the Internal Revenue Service. The intent of the new requirement
was to provide employees with all the information necessary to correctly report the eventual sale of shares
acquired through the ESPP purchase. If you purchased ESPP shares in 20XX, you should have received a
paper form reporting details of those exercises that looked similar to the sample form inserted in the email
that included this attachment.
In order to facilitate delivery of the required forms for 20XX and future years, we are providing an
electronic delivery choice.
Every Company employee with a work computer and access to the Company intranet will be able to
access this information easily through a secure website.
Every Company employee with a work computer and with a Company email address will receive this
information via email.
In order to comply with the IRS regulations and eliminate paper copies of the form, you must tell us that
you wish to receive this information electronically.
To indicate that you want to have all future forms made available to you electronically, hold down your
Ctrl key and click on the link that follows, or copy and paste it to your browser:
If you do not elect to access this information electronically, we are required to provide it on paper forms
delivered by postal mail. We strongly recommend accepting electronic delivery since the information will
be available to you as long as you remain a Company employee and will allow the Company to operate
more efficiently by eliminating the time, cost, and risk of non-delivery associated with printing and
mailing paper forms.
Delivery Method: Website
We have developed a new website which will be available for the first time in January through the XXX
link on the YYY site. It will provide access to a variety of equity-transaction information, including the
transaction details reported on Form 3921/3922. All of the information posted on the new website on will
remain available to you for as long as you remain at Company.
Delivery Method: Email
We will be sending you a form via email in January. It will provide the transaction details reported on
Form 3921/3922. Should you need a duplicate form sent, please contact
Once you elect electronic delivery, your choice will remain in effect until you change your election by
notifying Stock Plan Services by email or in writing that you no longer want to access the required forms
electronically and prefer instead to receive paper forms.
To change the method by which the information is made available to you from electronic to paper
delivery, send an email or a written note to Stock Plan Services at
or by interoffice mail to
Stock Plan Services
Employees without access to interoffice mail can sent their requests to
Stock Plan Services
123 Main Street
Anytown, IL 94000
We will confirm receipt of your request to opt out of electronic delivery via email to your Company email
address and inform you of the date on which the change becomes effective. Any request to opt out of
electronic delivery will not apply to any statement furnished prior to the effective date of the change
You may contact us by telephone at x9999 but we will not process any request to change the method in
which the information is provided until we receive either an email or paper communication requesting a
Requests to change the method of delivery will be processed within 30 calendar days of receipt. Forms
are created and either made available online or mailed by postal mail in January each year.
You may request a paper copy of the form at any time after you elect electronic delivery but that will not
change the method by which forms are delivered to you. Unless you specifically request a change to the
method of delivery from online to paper, we will continue to make the information available
Should your employment with Company terminate and we are required to provide you with a Form
3921/3922 after you leave Company, we will provide that information on a paper form regardless of the
election then on file since you will no longer be able to access the information electronically.
Whether you receive your transaction information electronically or on paper, please keep it in a
safe place with other important records in order to calculate the gain or loss when you sell your
shares. You currently do not need to file a copy of the form with your income tax return either
for the year for which it was prepared or the year(s) in which you sell the shares reported on the
If you would like future forms, those for 2011 and forward, made available to you electronically, hold
down your Ctrl key and click on the link that follows, or copy and paste it to your browser:
Stock Plan Services