Initial and Annual Statement of                                                       OMB No. 1545-0123
Form  8997                       Qualified Opportunity Fund (QOF) Investments
Department of the Treasury                             Attach to your tax return.                                            Attachment 2022
Internal Revenue Service               Go to www.irs.gov/Form8997 for the latest information.                                Sequence No. 997
Name                                                                                                    Tax identification number (see instructions)

Part I          Total QOF Investment Holdings Due to Deferrals Prior to Beginning of Tax Year 
                If different from last year’s ending QOF investment holdings, attach explanation.
      (a)                (b)                             (c)                                  (d)              Deferred gain held in QOF
Qualified         Date QOF                  Description of QOF investment                     Special          (e)                    (f) 
Opportunity       investment           (for example, 100 shares     or 25% interest)          gain      Amount of short-term Amount of long-term 
Fund (QOF)        acquired                                                                    code          deferred gain        deferred gain 
      EIN         (MM/DD/YYYY)                                                                          remaining in QOF     remaining in QOF

1     Enter the totals, if any, from continuation sheet  .  .       .  .   . .      . . . . . .  .

2     Enter the totals from columns (e) and (f)  . . .   .  .       .  .   . .      . . . . . .  .
Part II         Current Tax Year Capital Gains Deferred by Investing in QOF
      (a)                (b)                             (c)                                  (d)           Deferred gain invested in QOF
Qualified         Date QOF                  Description of interest acquired                  Special          (e)                    (f) 
Opportunity       investment           (for example, 100 shares     or 25% interest)          gain      Amount of short-term Amount of long-term 
Fund (QOF)        acquired                                                                    code          deferred gain        deferred gain 
      EIN         (MM/DD/YYYY)                                                                          remaining in QOF     remaining in QOF

1     Enter the totals, if any, from continuation sheet  .  .       .  .   . .      . . . . . .  .

2     Enter the totals from columns (e) and (f). See instructions for reporting on Form 8949  .
Applicability of Special Rules Regarding the Waiver of Certain Treaty Benefits
Are you a foreign eligible taxpayer? See instructions for more information. 
      Yes. You may not elect to defer tax on an eligible gain by investing in a QOF unless you check “Yes” in response to the next 
      question. 
      No. Skip the next question and go to Part III. 
Waiver of Treaty Benefits on Future Inclusions by a Foreign Eligible Taxpayer 
Do you hereby irrevocably waive any benefits available under an applicable U.S. income tax convention that would exempt gains 
that you are deferring by investing in a QOF from being subject to federal income tax at the time of inclusion? See instructions for 
more information. 
      Yes. Report the deferral of the eligible gain in Part II and on Form 8949.
      No. You may not elect to defer tax on an eligible gain by investing in a QOF. Do not report the deferral of any otherwise eligible 
      gain in Part II or on Form 8949. 
For Paperwork Reduction Act Notice, see your tax return instructions.                       Cat. No. 37821R                      Form 8997 (2022)

Form 8997 (2022)                                                                                                                                     Page 2 
Part III        Inclusion Events and Certain Other Transfers During the Current Tax Year
                                                                                                                             Deferred gain included 
  (a)            (b)                                  (c)                                                 (d)      due to disposition of QOF interest
Qualified        Date of event                    Description of event                                    Special 
Opportunity      (MM/DD/YYYY)   (for example, sale of 100 shares, gift of 25% interest,                   gain            (e)                  (f) 
                                                                                                                   Amount of previously Amount of previously 
Fund (QOF)                           or distribution of     $1,000, etc.)                                 code     deferred short-term  deferred long-term 
  EIN
                                                                                                                   gain now included in gain now included in 
                                                                                                                   taxable income       taxable income

1    Enter the totals, if any, from continuation sheet  . .  .  .      . .   . . . . .                    .  .

2    Enter the totals from columns (e) and (f). See instructions for reporting on Form 8949  .
Check this box if you disposed of any investment(s) and didn’t receive a Form 1099-B reporting the disposition from the QOF or 
other third party. See the Instructions for Form 8949 for reporting requirements of any gain or loss.
Part IV         Total QOF Investments Due to Deferrals at Year End (see instructions)
  (a)            (b)                                  (c)                                                 (d)      Deferred gain invested in QOF investment
Qualified        Date QOF            Description of interest acquired                                     Special         (e)                  (f) 
Opportunity      investment     (for example, 100 shares     or 25% interest)                             gain     Amount of short-term Amount of long-term 
Fund (QOF)       acquired                                                                                 code     deferred gain        deferred gain 
  EIN            (MM/DD/YYYY)                                                                                      invested in QOF      invested in QOF

1    Enter the totals, if any, from continuation sheet  . .  .  .      . .   . . . . .                    .  .

2    Enter the totals from columns (e) and (f)  . . . .   .  .  .      . .   . . . . .                    .  .
                                                                                                                                        Form 8997 (2022)

Form 8997 (2022)                                                                                                             Page 3 

Section references are to the Internal      Special gain code (SGC). An SGC is a       Identification requirement for 
Revenue Code unless otherwise noted.        code that is entered when the QOF          acquisition from another taxpayer in a 
                                            investment originated from an elected      noninclusion transfer. If you acquired 
General Instructions                        deferred gain, where the gain was:         the QOF investment during the tax year 
                                            SGC            Gain Origination            or in a prior tax year in a transaction that 
                                                                                       was, in whole or in part, not an inclusion 
Future Developments                         A       Section 1256 gain                  event under Regulations section 
For the latest information about            B       Form 4797 (section 1231)           1.1400Z2(b)‐1(c), provide the following 
developments related to Form 8997 and       C       Straddle(s)                        information relating to the transferor of 
its instructions, such as legislation                                                  the QOF investment. Enter in column (c) 
enacted after they were published, go to    D       Collectibles
                                                                                       the taxpayer name, taxpayer 
www.irs.gov/Form8997.                       E       Exempt by treaty (but for          identification number, and the date the 
                                                    election to defer rather than      QOF investment was transferred to you. 
Purpose of Form                                     claim exemption)                   Enter in column (d) special gain code “F.”
The Tax Cuts and Jobs Act (TCJA),           F       Deferred gain relating to a  
section 13823, added section 1400Z-1                noninclusion transfer              Identification requirement for transfer 
                                                                                       to another taxpayer in a noninclusion 
to provide for the designation of certain                                              transfer. If you disposed of a QOF 
census tracts as qualified opportunity      Who Must File
                                                                                       investment during the tax year in a 
zones (QOZs) and added section              An eligible taxpayer holding a QOF         transaction that was, in whole or in part, 
1400Z-2 to provide certain benefits for     investment at any point during the tax     not an inclusion event under Regulations 
investments in these QOZs through           year must file Form 8997 with the          section 1.1400Z2(b)‐1(c), provide the 
investment in qualified opportunity funds   taxpayer’s timely filed federal income tax following information relating to the 
(QOFs). Taxpayers that invest in QOZ        return (including extensions). An eligible transferee of the QOF investment. Enter 
property through a QOF can defer the        taxpayer is a person that is required to   in column (c) the taxpayer name, taxpayer 
recognition of certain gains. See           report the recognition of gains during the identification number, and the date the 
Definitions, later.                         tax year under federal income tax          QOF investment was disposed of. Enter 
An investor in a QOF uses Form 8997         accounting principles. If you are not      in column (d) special gain code “F.”
to inform the IRS of the QOF                otherwise required to file a return, with 
investments and deferred gains held at      the exception of grantor trusts, but you   Part II
the beginning and end of the current tax    are an eligible taxpayer who held a QOF 
year, as well as any capital gains          investment at any point during the tax     Complete Part II to report your capital 
deferred by investing in a QOF and QOF      year, attach Form 8997 to an appropriate   gains for the current tax year that were 
investments disposed of during the          return, such as Form 1040-NR or Form       deferred by investing in a QOF. 
current tax year. See www.irs.gov/          1120-F, with your name, address, and       Complete columns (a) through (d) for 
Ozfaqs for more information and             identification number.                     each QOF investment. When reporting 
                                                                                       the amount of the deferred gain, use the 
guidance.                                   Instructions for consolidated groups.      appropriate column (either (e) or (f)) 
                                            A consolidated group should include        depending on whether the capital gain 
Definitions                                 with the group’s return a separate Form    deferred was a short-term or a long-term 
Qualified opportunity fund (QOF). A         8997 for each group member that held a     capital gain.
QOF is an investment vehicle organized      QOF investment during the tax year. 
                                                                                       Identification requirement for 
as a corporation or a partnership for the                                              acquisition from another taxpayer in a 
purpose of investing in QOZ property        Specific Instructions                      noninclusion transfer. If you acquired 
(other than another QOF) that holds at                                                 the QOF investment during the tax year 
least 90% of its assets in QOZ property.    Name and Address                           in a transaction that was, in whole or in 
See the Instructions for Form 8996 for                                                 part, not an inclusion event under 
more information.                           Print or type the information in the 
                                            spaces provided.                           Regulations section 1.1400Z2(b)‐1(c), 
Qualified opportunity fund (QOF)                                                       provide the following information relating 
investment. A QOF investment is an          Taxpayer identification number. If you     to the transferor of the QOF investment. 
investment of eligible gain into a QOF to   are an individual, enter your social       Enter in column (c) the taxpayer name, 
defer recognition of the eligible gain. The security number (SSN) or your individual   taxpayer identification number, and the 
investment in the QOF must be in the        taxpayer identification number (ITIN). For date the QOF investment was 
form of an equity interest in the QOF,      C corporations, partnerships, S            transferred to you. Enter in column (d) 
which may include preferred stock or        corporations, trusts (non-grantor trusts), special gain code “F.”
partnership interests, including those      estates, and Indian tribes, enter the 
with special allocations. Generally, the    employer identification number (EIN).      Identification requirement for transfer 
                                                                                       to another taxpayer in a noninclusion 
investment in the QOF must have             Part I                                     transfer. If you disposed of a QOF 
occurred within the 180-day period                                                     investment during the tax year in a 
beginning on the date the gain would be     Complete Part I to declare your QOF        transaction that was, in whole or in part, 
recognized for federal income tax           investments held at the beginning of the   not an inclusion event under Regulations 
purposes if the eligible taxpayer didn’t    current tax year; for individuals, this    section 1.1400Z2(b)‐1(c), provide the 
elect to defer recognition of that gain. A  would generally be January 1, 2022.        following information relating to the 
QOF investment is also reported on          Complete columns (a) through (d) for       transferee of the QOF investment. Enter 
Form 8949; other non-qualifying             each QOF investment. When reporting        in column (c) the taxpayer name, taxpayer 
investments in the entity certified as a    the amount of the deferred gain, use the   identification number, and the date the 
QOF are not reported on Form 8997.          appropriate column (either (e) or (f))     QOF investment was disposed of. Enter 
                                            depending on whether the remaining         in column (d) special gain code “F.”
                                            deferred capital gain in the fund was a 
                                            short-term or a long-term capital gain. 

Form 8997 (2022)                                                                                                                  Page 4 

Waiver of Treaty Benefits on                  excepted from being inclusion events.      deferrals and prior tax year(s) deferrals; 
                                              See Regulations section 1.1400Z2(b)-1(c)   for individuals, this would generally be 
Future Inclusions by a                        for a full list of inclusion events and    December 31, 2022. Complete columns 
Foreign Eligible Taxpayer                     exceptions.                                (a) through (d) for each QOF investment. 
If you are a foreign eligible taxpayer (an    Complete columns (a) through (c) for       When reporting the amount of the 
eligible taxpayer that is not a U.S. person   each QOF investment. When reporting        deferred gain, use the appropriate 
within the meaning of section 7701(a)(30)     the amount of the deferred gain now        column (either (e) or (f)) depending on 
or that is treated as a resident of another   included, due to the inclusion event,      whether the deferred capital gain was a 
country for purposes of an applicable         complete column (d) and report the         short-term or a long-term capital gain. 
income tax treaty), you must, for any         amount of the gain in the appropriate      If one of your QOF investments is the 
capital gains that you are deferring by       column (either (e) or (f)) depending on    continuation of an investment in a 
investing in a QOF, irrevocably waive any     whether the previously deferred capital    different QOF (for example, due to a 
benefits available under an applicable        gain was a short-term or a long-term       reorganization), enter in column (c) the 
U.S. income tax convention that would         capital gain. If your transaction falls    word “Formerly” and the earlier QOF’s 
exempt such gains from being subject to       under an exception in the regulations so   EIN.
federal income tax at the time of             that no deferred gain is now included,     Identification requirement for 
inclusion. A foreign eligible taxpayer        enter in column (c) the word “Exception”   acquisition from another taxpayer in a 
includes, for example, any individual who     and a citation to the applicable           noninclusion transfer. If you acquired 
is required to file Form 1040-NR, a           paragraph of the regulations; leave        the QOF investment in a transaction that 
foreign corporation, and a foreign estate     columns (d)–(f) blank.                     was, in whole or in part, not an inclusion 
or trust.  A citizen or resident alien of the Check the box in Part III if you           event under Regulations section 
United States who is required to file         disposed of a QOF investment during        1.1400Z2(b)‐1(c), provide the following 
Form 1040 or 1040-SR is not a foreign         the current tax year and didn’t receive a  information relating to the transferor of 
eligible taxpayer. To waive treaty            Form 1099-B from the QOF or other third    the QOF investment. Enter in column (c) 
benefits, a foreign eligible taxpayer must    party reporting the disposition.           the taxpayer name, taxpayer 
check the “Yes” box provided on page 1                                                   identification number, and the date the 
of Form 8997 under Waiver of Treaty           Identification requirement for 
Benefits on Future Inclusions by a            acquisition from another taxpayer in a     QOF investment was transferred to you. 
Foreign Eligible Taxpayer.                    noninclusion transfer. If you acquired     Enter in column (d) special gain code “F.”
                                              the QOF investment in a transaction that 
Note: The waiver of treaty benefits on        was, in whole or in part, not an inclusion Additional Investments
Form 8997 generally doesn’t apply to          event under Regulations section            Attach and label a separate continuation 
partnerships. See Regulations section         1.1400Z2(b)‐ 1(c), provide the following   sheet if the number of QOF investments 
1.1400Z2(a)-1(b)(11)(ix)(A)(3).               information relating to the transferor of  to be reported on Part I, II, III, or IV 
Part III                                      the QOF investment. Enter in column (c)    exceeds the amount of lines provided. 
                                              the taxpayer name, taxpayer                Transfer the deferred gains from the 
Complete Part III to report inclusion         identification number, and the date the    continuation sheet to the line on each 
events during the current tax year for        QOF investment was transferred to you.     part for totals from a continuation sheet 
your QOF interests. An inclusion event        Enter in column (d) special gain code “F.” and enter the amounts in the appropriate 
occurs if you sold or transferred your                                                   column (either (e) or (f)) depending on 
QOF investment, if you received a             Part IV                                    whether the deferred capital gain 
distribution from the QOF, if you                                                        invested in the fund was a short-term or 
declared your QOF interest worthless, if      Complete Part IV to report your deferred   a long-term capital gain.
the QOF ceased to be a QOF, or if you         gain held during the tax year that was 
or the QOF engaged in certain other           not invested and your QOF investments 
transactions. Some transactions are           held due to current year capital gain