| 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 | 6 | Date | Date option granted | MMDDYY |
| Box 2 Date | 6 | Date | Date option exercised | MMDDYY |
| Box 3 Amount | 12 | Amount | Fair market value (FMV) per share on grant date | |
| Box 4 Amount | 12 | Amount | Fair market value (FMV) per share on exercise date | |
| Box 5 Amount | 12 | Amount | Exercise price paid per share | |
| Box 6 Number | 7 | Number | No of shares transferred | |
| Box 7 Date | 6 | Date | Date legal title transferred | MMDDYY |
| Box 8 Amount | 12 | Amount | Exercise price per share determined as if the option was exercised on the date show in box 1 | |
| See Form Common Fields | Form fields common to all form types. | |
