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         2626                               VOID            CORRECTED
CORPORATION'S name, street address, city or town, state or province,         1 Date option granted             OMB No. 1545-2129           Transfer of Stock 
country, and ZIP or foreign postal code
                                                                                                                                         Acquired Through 
                                                                                                             Form 3922                     an Employee 
                                                                             2 Date option exercised                                       Stock Purchase 
                                                                                                                                           Plan Under 
                                                                                                             (Rev. August 2013)            Section 423(c)
CORPORATION'S federal identification number EMPLOYEE’S identification number 3 Fair market value per share   4 Fair market value per share         Copy A
                                                                               on grant date                   on exercise date
                                                                                                                                                           For 
EMPLOYEE’S name                                                              $                               $                             Internal Revenue 
                                                                             5 Exercise price paid per share 6 No. of shares transferred   Service Center
                                                                             $                                                             File with Form 1096.
Street address (including apt. no.)
                                                                             7 Date legal title transferred                                For Privacy Act and 
                                                                                                                                           Paperwork Reduction 
City or town, state or province, country, and ZIP or foreign postal code                                                                   Act Notice, see the 
                                                                                                                                           current version of the 
                                                                             8 Exercise price per share determined as if the option was    General Instructions for 
Account number (see instructions)                                              exercised on the date shown in box 1.                       Certain Information 
                                                                                                                                                   Returns.
                                                                             $
Form 3922 (Rev. 8-2013)                     Cat. No. 41180P                  www.irs.gov/form3922              Department of the Treasury - Internal Revenue Service
Do Not Cut or Separate Forms on This Page — Do Not Cut or Separate Forms on This Page

                                                            CORRECTED
CORPORATION'S name, street address, city or town, state or province,         1 Date option granted             OMB No. 1545-2129           Transfer of Stock 
country, and ZIP or foreign postal code
                                                                                                                                         Acquired Through 
                                                                                                              Form 3922                    an Employee 
                                                                             2 Date option exercised                                       Stock Purchase 
                                                                                                                                           Plan Under 
                                                                                                              (Rev. August 2013)           Section 423(c)
CORPORATION'S federal identification number EMPLOYEE’S identification number 3 Fair market value per share   4 Fair market value per share Copy B
                                                                               on grant date                   on exercise date
                                                                                                                                           For Employee
EMPLOYEE’S name                                                              $                               $
                                                                             5 Exercise price paid per share 6 No. of shares transferred   This is important tax 
                                                                             $                                                             information and is 
Street address (including apt. no.)                                          7 Date legal title transferred                                being furnished to 
                                                                                                                                           the Internal Revenue 
                                                                                                                                           Service.
City or town, state or province, country, and ZIP or foreign postal code
                                                                             8 Exercise price per share determined as if the option was 
Account number (see instructions)                                              exercised on the date shown in box 1.
                                                                             $
Form 3922 (Rev. 8-2013)             (keep for your records)                  www.irs.gov/form3922              Department of the Treasury - Internal Revenue Service

Instructions for Employee
You have received this form because (1) your employer (or its      Box 3. Shows the fair market value (FMV) per share on the 
transfer agent) has recorded a first transfer of legal title of    date the option to purchase the stock was granted to you.
stock you acquired pursuant to your exercise of an option          Box 4. Shows the FMV per share on the date you exercised 
granted under an employee stock purchase plan and (2) the          the option to purchase the stock.
exercise price was less than 100 percent of the value of the 
stock on the date shown in box 1 or was not fixed or               Box 5. Shows the price paid per share on the date you 
determinable on that date.                                         exercised the option to purchase the stock.
No income is recognized when you exercise an option                Box 6. Shows the number of shares to which legal title was 
under an employee stock purchase plan. However, you must           transferred by you.
recognize (report) gain or loss on your tax return for the year in Box 7. Shows the date legal title of the shares was first 
which you sell or otherwise dispose of the stock. Keep this        transferred by you.
form and use it to figure the gain or loss. For more information,  Box 8.  If the exercise price per share was not fixed or 
see Pub. 525, Taxable and Nontaxable Income.                       determinable on the date entered in box 1, box 8 shows the 
Account number. May show an account or other unique                exercise price per share determined as if the option was 
number your employer or transfer agent assigned to                 exercised on the date in box 1. If the exercise price per share 
distinguish your account.                                          was fixed or determinable on the date shown in box 1, then 
Box 1. Shows the date the option to purchase the stock was         box 8 will be blank.
granted to you.                                                    Future developments. For the latest information about 
Box 2. Shows the date you exercised the option to purchase         developments related to Form 3922 and its instructions, such 
the stock.                                                         as legislation enacted after they were published, go to 
                                                                   www.irs.gov/form3922.

                                            VOID CORRECTED
CORPORATION'S name, street address, city or town, state or province,         1 Date option granted             OMB No. 1545-2129           Transfer of Stock 
country, and ZIP or foreign postal code
                                                                                                                                         Acquired Through 
                                                                                                             Form 3922                     an Employee 
                                                                             2 Date option exercised                                       Stock Purchase 
                                                                                                                                           Plan Under 
                                                                                                              (Rev. August 2013)           Section 423(c)
CORPORATION'S federal identification number EMPLOYEE’S identification number 3 Fair market value per share   4 Fair market value per share         Copy C
                                                                               on grant date                   on exercise date            For Corporation
EMPLOYEE’S name                                                              $                               $                             This copy should be 
                                                                             5 Exercise price paid per share 6 No. of shares transferred   retained by the 
                                                                                                                                                   corporation.
                                                                             $
Street address (including apt. no.)                                          7 Date legal title transferred                                For Privacy Act and 
                                                                                                                                           Paperwork Reduction 
City or town, state or province, country, and ZIP or foreign postal code                                                                   Act Notice, see the 
                                                                                                                                           current version of the 
                                                                             8 Exercise price per share determined as if the option was    General Instructions 
Account number (see instructions)                                              exercised on the date shown in box 1.                               for Certain 
                                                                                                                                           Information Returns.
                                                                             $
Form 3922 (Rev. 8-2013)                                                      www.irs.gov/form3922              Department of the Treasury - Internal Revenue Service

Instructions for Corporation
To complete Form 3922, use:                            File Copy A of this form with the IRS by February 28 
                                                       of the year following the year of first transfer of the 
• the current General Instructions for Certain         stock acquired through the employee stock purchase 
Information Returns, and                               plan. If you file electronically, the due date is March 31 
• the current Instructions for Forms 3921 and 3922.    of the year following the year of first transfer of the 
                                                       stock acquired through the employee stock purchase 
To order these instructions and additional forms, go 
                                                       plan. To file electronically, you must have software that 
to www.irs.gov/form3922 or call 1-800-TAX-FORM 
                                                       generates a file according to the specifications in Pub. 
(1-800-829-3676).
                                                       1220, Specifications for Electronic Filing of Forms 1097, 
Caution. Because paper forms are scanned during        1098, 1099, 3921, 3922, 5498, 8935, and W-2G. The 
processing, you cannot file Forms 1096, 1097, 1098,    IRS does not provide a fill-in form option.
1099, 3921, 3922, or 5498 that you print from the IRS 
                                                       Need help?  If you have questions about reporting on 
website.
                                                       Form 3922, call the information reporting customer 
Due dates. Furnish Copy B of this form to the employee service site toll free at 1-866-455-7438 or 304-263-8700 
by January 31 of the year following the year of first  (not toll free). Persons with a hearing or speech 
transfer of the stock acquired through the employee    disability with access to TTY/TDD equipment can call 
stock purchase plan.                                   304-579-4827 (not toll free).