Excise Tax on Repurchase of Corporate Stock
Form 7208
(June 2024)                   For calendar year 20    , or other tax year beginning                        , 20     ,
                                                   and ending                         , 20      .                          OMB No. 1545-2323
Department of the Treasury                                     Attach to Form 720. 
Internal Revenue Service          Go to www.irs.gov/Form7208 for instructions and the latest information.
Name                                                                                                              Employer identification number (EIN)

Part I      Total Stock Repurchases (see instructions)

1    (a) If repurchasing or       (b) If           (c) Type of     (d) Stock   (e) Class     (f) Trading   (g) Number      (h) Total fair market 
     acquiring entity is      repurchasing or      transaction     symbol      of stock      exchange        of shares        value (FMV) of 
     one other than the       acquiring entity                                                                             repurchased shares
     entity listed above,       is one other 
        enter its name        than the entity 
                                listed above, 
                                enter its EIN

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2    Total from attachment, if necessary  .        .  . .      . . .  . .    . .    . .    . .  .   .    . .    . .    2  $
3    Add  amounts  in  column  (h)  and  enter  here.  If  filer  is  an  applicable  specified  affiliate,  see 
     instructions  .        . . . .  .   .     . . .  . .      . . .  . .    . .    . .    . .  .   .    . .    . .    3  $
4    Were  any  of  the repurchases shown  on line 1 or line  2 with  respect to  stock  of  an  applicable  foreign
     corporation or a covered surrogate foreign corporation?  .         .    . .    . .    . .    . .    . .    . .  . .      Yes      No
     All filers reporting more than $1 million on line 3 must go to Part II. If you’re an applicable specified affiliate reporting $1 million
     or less on line 3, see instructions. If you’re NOT an applicable specified affiliate and reporting $1 million or less on line 3, stop
     here, and attach this form to Form 720.

Part II     Exceptions

5a   Stock repurchases as part of a reorganization in which no gain or loss is recognized  .             . .    . .    5a $
b    Stock repurchases treated as dividends .         . .      . . .  . .    . .    . .    . .  .   .    . .    . .    5b $
c    Reserved for future use  .      .   .     . . .  . .      . . .  . .    . .    . .    . .  .   .    . .    . .    5c
d    Stock repurchases by a dealer in securities in the ordinary course of business  .          .   .    . .    . .    5d $
e    Total exceptions. Add lines 5a through 5d  .       .      . . .  . .    . .    . .    . .  .   .    . .    . .    5e $
For Paperwork Reduction Act Notice, see the instructions.                             Cat. No. 56401D                         Form 7208 (6-2024)

Form 7208 (6-2024)                                                                                                                Page 2 
Part III    Contributions to Employer-Sponsored Retirement Plans (see instructions)

                                                                                               Contributions
6                  Repurchases
                                                               Repurchased Class                 Different Class

(a) Class   (b) Number  (c) Aggregate   (d) Average         (e) Number   (f) Aggregate      (g) Number  (h) Aggregate (i) Aggregate value of 
of stock    of shares      FMV          price per share     of shares  FMV of shares        of shares   FMV of shares    contributions
repurchased repurchased                 (divide (c) by (b))              contributed        contributed contributed
                                                                       (multiply (d) by (e))

                                                                                                                      $

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7  Total from attachment, if necessary  .    . .    .       .  . . .   . .  . .  .     .    .  . .    . .  . .  7     $
8  Add amounts in column (i) and enter here  .      .       .  . . .   . .  . .  .     .    .  . .    . .  . .  8     $
Part IV     Stock Issued or Provided

9a Stock issued or provided to employees  .    .    .       .  . . .   . .  . .  .     .    .  . .    . .  . .  9a    $
b  Stock issued or provided to employees of a specified affiliate        .  . .  .     .    .  . .    . .  . .  9b    $
c  Stock issued but not entered on line 9a or line 9b .        . . .   . .  . .  .     .    .  . .    . .  . .  9c    $
d  Total issuances. Add lines 9a through 9c  .      .       .  . . .   . .  . .  .     .    .  . .    . .  . .  9d    $
Part V      Tax and Payments

10 Stock repurchases subject to tax. Subtract lines 5e, 8, and 9d from line 3. If zero or less, enter 
   -0- and see instructions. If more than zero, continue to line 11  .      . .  .     .    .  . .    . .  . .  10    $
11 Excise tax on stock repurchases. Multiply line 10 by 1% (0.01). Enter here and on Form 720 on
   the line for IRS No. 150  . .      . .  . . .    .       .  . . .   . .  . .  .     .    .  . .    . .  . .  11    $
                                                                                                                         Form 7208 (6-2024)