| Field Name | Size | Type | Description | Notes |
See Form Filer Common Fields
| Filer fields common to all form types. |
|
See Recipient Common Fields
| Recipient fields common to all form types. |
|
| Box 1 Date | 10 | Date | Box 1: Date Option Granted | MM/DD/YYYY or M/D/YYYY |
| Box 2 Date | 10 | Date | Box 2: Date Option Exercised | MM/DD/YYYY or M/D/YYYY |
| Box 3 Amount | 12 | Amount | Box 3: Exercise price per share |
|
| Box 4 Amount | 12 | Amount | Box 4: Fair market value of share on exercise date |
|
| Box 5 Number | 8 | Numeric | Box 5: Number of Shares Transferred |
|
| Box 6 All Lines | 40 | Text | Box 6: If Other Than TRANSFEROR, name, address and TIN of corporation whose stock is being transferred |
|
See Form Common Fields
| Form fields common to all form types. |
|
