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 | 8 | Date | Box 1: Date Option Granted | MM/DD/YYYY or M/D/YYYY |
Box 2 Date | 8 | 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 Information | |