Userid: CPM Schema: Leadpct: 100% Pt. size: 9.5 Draft Ok to Print instrx AH XSL/XML Fileid: … ns/I8937/201509/A/XML/Cycle03/source (Init. & Date) _______ Page 1 of 2 10:28 - 21-Aug-2015 The type and rule above prints on all proofs including departmental reproduction proofs. MUST be removed before printing. Department of the Treasury Instructions for Form 8937 Internal Revenue Service (Rev. September 2015) (Use with the December 2011 revision of Form 8937) Report of Organizational Actions Affecting Basis of Securities Section references are to the Internal Revenue Code unless Organizational actions occurring after 2011 affecting otherwise noted. regulated investment company stock. Organizational actions occurring after 2013 affecting Future Developments options, warrants, or stock rights. For the latest information about developments related to Organizational actions occurring after 2013 affecting Form 8937 and its instructions, such as legislation enacted securities futures contracts. after they were published, go to www.irs.gov/form8937. Organizational actions occurring after 2013 affecting fixed yield, fixed term debt instruments described in Regulations General Instructions section 1.6045-1(n)(2)(i) (other than debt instruments described in Regulations section 1.6045-1(n)(2)(ii)). Who Must File Organizational actions occurring after 2015 affecting debt File Form 8937 if you are an issuer of a specified security that instruments described in Regulations section 1.6045-1(n)(3) takes an organizational action that affects the basis of that (for example, a variable rate debt instrument, a contingent security. A specified security is: payment debt instrument, a convertible debt instrument, a Any share of stock in an entity organized as, or treated for payment-in-kind debt instrument, or an inflation-indexed debt federal tax purposes as, a corporation; instrument). Any interest treated as stock, including, for example, an American Depositary Receipt; Exceptions An option, warrant, or stock right described in Regulations section 1.6045-1(m)(2); Public reporting. You are not required to file Form 8937 A securities futures contract; or with the IRS if, by the due date, you post a completed and A debt instrument (other than a debt instrument subject to signed Form 8937 in a readily accessible format in an area of section 1272(a)(6) or a short-term obligation). your primary public website dedicated to this purpose and you keep it accessible to the public on this website or the File Form 8937 when an organizational action affects the primary website of any successor organization for 10 years. basis of holders of a security or holders of a class of the You may electronically sign the Form 8937 that is posted to security. For example, you must file Form 8937 if you make a your website as long as you identify the individual who is nontaxable cash distribution to shareholders or if you make a signing the penalties of perjury declaration. nontaxable stock distribution to shareholders, including a Exempt recipients. No reporting is required if you stock split. In addition, if a conversion rate adjustment on a determine that all the holders of the security are exempt convertible debt instrument results in a distribution under recipients, including C corporations, charitable organizations, section 305(c) (for example, because of a cash distribution to foreign holders, IRAs, Archer MSAs, health savings accounts shareholders), you must file Form 8937 if the adjustment (HSAs), the United States, a state, or political subdivisions, occurs after December 31, 2015. Do not file Form 8937 if you as defined in Regulations section 1.6045B-1(b)(5). distribute stock to someone exercising a previously granted right to purchase stock. While this action bears on the basis Certain money market funds. No reporting is required by of the stock being distributed, it does not affect the basis of a regulated investment company (RIC) that can hold itself out stock held by others. You must instead report the basis of the as a money market fund under Rule 2a-7 under the stock being distributed when you purchase back or transfer Investment Company Act of 1940. custody of the stock. You do not need to file Form 8937 for an initial public offering or an issuance of a debt instrument. Special Rules However, you may need to file Form 8937 for an issuance of a debt instrument in a recapitalization, including a S corporations. If an S corporation reports the effect of any recapitalization resulting from a significant modification or a organizational action affecting the basis of its stock on a bankruptcy reorganization. Schedule K-1 (Form 1120S) timely filed for each shareholder and timely gives a copy to all proper parties, no Form 8937 is Do not report a distribution on Form 8937 if the distribution required to be filed with regard to that organizational action. is reportable as a dividend on Form 1099-DIV. Certain RICs and REITs. A regulated investment company The requirement to file Form 8937 applies to both (RIC) or a real estate investment trust (REIT) that reports domestic and foreign issuers of securities if the security is undistributed capital gains to shareholders on Form 2439 can owned by U.S. taxpayers, either directly or as a depositary satisfy the organizational action reporting requirements for receipt. those undistributed gains if the RIC or REIT timely files and gives Form 2439 to all proper parties for the organizational This filing requirement applies to organizational actions action. RICs, REITs, and brokers holding custody of RIC and occurring after 2010 for a specified security as follows. REIT stock must then adjust basis in accordance with the Organizational actions occurring after 2010 affecting stock information reported on Form 2439. other than regulated investment company stock. Aug 21, 2015 Cat. No. 57457H |
Page 2 of 2 Fileid: … ns/I8937/201509/A/XML/Cycle03/source 10:28 - 21-Aug-2015 The type and rule above prints on all proofs including departmental reproduction proofs. MUST be removed before printing. When To File remains liable for any penalty for any failure to comply unless Form 8937 must be filed with the IRS on or before the 45th it is shown that the failure is due to reasonable cause and not day following the organizational action or, if earlier, January willful neglect. See sections 6721 through 6724. 15 of the year following the calendar year of the Acquiring and successor entities. An acquiring or organizational action. You may file the return before the successor entity of an issuer must satisfy these reporting organizational action if the quantitative effect on basis is obligations if the issuer has not done so. If neither the issuer determinable. For purposes of determining this deadline, a nor the acquiring or successor entity satisfies the reporting redemption occurs on the last day a holder may redeem a obligations, both are jointly and severally liable for any security. applicable penalties. To report the quantitative effect on basis by the due TIP date, you may make reasonable assumptions about Specific Instructions facts that cannot be determined before the due date. You must file a corrected return within 45 days of determining Part I facts that result in a different quantitative effect on basis from what was previously reported. For additional information, see Boxes 1 and 2. Enter the issuer's name and employer Regulations sections 1.6045B-1(a)(2)(ii) and 1.6045B-1(g), identification number (EIN). Example 2. Boxes 3, 4, 5, 6, and 7. Enter the name, telephone number, email address, and mailing address of a contact person. Where To File Boxes 8, 9, 10, 11, 12, and 13. For each security involved Send Form 8937 to Department of the Treasury, Internal in the organizational action, enter the requested information. Revenue Service, Ogden, UT 84201-0054. Complete all boxes that apply. Issuer Statements Note. If a box does not apply, leave it blank. If you are required to file Form 8937, you must give a copy of In box 9, enter the classification of the security (such as Form 8937 to each security holder of record as of the date of stock) and include any description about the class of security the organizational action and all subsequent holders of affected. record up to the date you give the copy of Form 8937. If you record the security on your books in the name of a nominee, Part II you must give the copy of Form 8937 to the nominee in lieu of For each security involved in the organizational action, enter the holder. However, if you, your agent, or a plan you operate the requested information. is listed as the nominee, you must give the copy of Form 8937 to the holder. Paperwork Reduction Act Notice. We ask for the You are considered to have given a copy of Form 8937 to information on this form to carry out the Internal Revenue all holders and nominees if you post a completed Form 8937 laws of the United States. You are required to give us the to your primary public website under the rules listed under information. We need it to ensure that you are complying with Public reporting, earlier. these laws and to allow us to figure and collect the right amount of tax. You are not required to, but may, give a copy of Form 8937 to a holder or nominee if the holder is an exempt You are not required to provide the information requested recipient. See Exempt recipients, earlier. on a form that is subject to the Paperwork Reduction Act You may give holders and nominees a written statement unless the form displays a valid OMB control number. Books instead of a copy of Form 8937. The written statement must or records relating to a form or its instructions must be include the same information as provided on Form 8937 and retained as long as their contents may become material in must indicate that the information is being reported to the the administration of any Internal Revenue law. Generally, IRS. tax returns and return information are confidential, as required by section 6103. Time for furnishing statements. You must give holders or nominees an issuer statement on or before January 15 of the The time needed to complete and file this form will vary year following the calendar year of the organizational action. depending on individual circumstances. The estimated For purposes of determining this deadline, a redemption average time is: occurs on the last day a holder may redeem a security. You Learning about the law or the form. . . . . . . 35 min. can give an issuer statement before the organizational action if you have determined the quantitative effect on basis. If you Preparing the form. . . . . . . . . . . . . . . . . 40 min. file a corrected Form 8937 with the IRS, you must give a Recordkeeping . . . . . . . . . . . . . . . . . . . 2 hr., 52 min. corrected issuer statement by the later of the January 15 due date above or 45 days after you determine the facts that result in a different quantitative effect on basis from what was previously reported. Penalties Agents. An issuer may use an agent, including a depositary, to satisfy these reporting requirements. However, the issuer -2- |