FORM 3921 File Schema

Sample File = Schema\2019\TEXT\T3921.txt


String fields are displayed within quotations

CRLF=Carriage Return Line Feed (Hex 0D0A)

 

"Name line 1"

"Name line 2"

"Street address line 1"

"Street address line 2"

"City"

"State"

"Zip code"

"USPS Delivery Point"

"Foreign address indicator" ¹

"Foreign city, province, postal code, etc."

"TIN Type"

"Taxpayer ID"

"Name control"

"Account number"

"Date option granted" ²

"Date option exercised" ²

Exercise price per share

FMV per share on exercise date

Number of shares transferred

"Other information line 1"

"Other information line 2"

"Other information line 3"

"Other information line 4"

"Do not print indicator" ¹

"E-Mail address"

"Client ID"

CRLF

 

¹ "X" if applicable, otherwise, enter a null string ""

² Use format MMDDYYYY or MMDDYY (21st century is assumed).