Annual Return To Report Transactions With                                                           OMB No. 1545-0159
Form  3520                   Foreign Trusts and Receipt of Certain Foreign Gifts
Department of the Treasury                                                                                                                      22
Internal Revenue Service         Go to www.irs.gov/Form3520 for instructions and the latest information.                             20
Note: All information must be in English. Show all amounts in U.S. dollars. File a separate Form 3520 for each foreign trust.
For calendar year 2022, or tax year beginning                                          , 2022, ending                                              , 20
A Check appropriate boxes:       Initial return           Final return        Amended return
B Check box that applies to person filing return:         Individual          Partnership       Corporation             Trust        Executor
C Check if any excepted specified foreign financial assets are reported on this form. See instructions  . .       .   . .  .     . . .        . .  .   .
Check all applicable boxes. See applicable instructions. 
  You are (a) a U.S. transferor who, directly or indirectly, transferred money or other property during the current tax year to a foreign trust; (b) a U.S. 
  person who (1) during the current tax year, transferred property (including cash) to a related foreign trust (or a person related to the trust) in 
  exchange for an obligation, or (2) holds a qualified obligation from the trust that is currently outstanding; or (c) the executor of the estate of a U.S. 
  decedent and (1) the decedent made a transfer to a foreign trust by reason of death, (2) the decedent was treated as the owner of any portion of a 
  foreign trust immediately prior to death, or (3) the decedent’s estate included any portion of the assets of a foreign trust. Complete all applicable 
  identifying information requested below and Part I of the form. 
  You are a U.S. owner of all or any portion of a foreign trust at any time during the tax year.Complete all applicable identifying  information 
  requested below and Part II of the form. 
  You are (a) a U.S. person (including a U.S. owner) or an executor of the estate of a U.S. person who, during the current tax year, received, directly 
  or indirectly, a distribution from a foreign trust; (b) a U.S. person who is a U.S. owner or beneficiary of a foreign trust and in the current tax year, 
  you or a U.S. person related to you received (1) a loan of cash or marketable securities, directly or indirectly, from such foreign trust, or (2) the 
  uncompensated use of trust property; or (c) a U.S. person who is a U.S. owner or beneficiary of a foreign trust and in the current tax year such 
  foreign trust holds an outstanding qualified obligation of yours or a U.S. person related to you. Complete all applicable identifying information 
  requested below and Part III of the form. 
  You are a U.S. person who, during the current tax year, received certain gifts or bequests from a foreign person. Complete all applicable 
  identifying information requested below and Part IV of the form. 
  1a    Name of U.S. person(s) with respect to whom this Form 3520 is being filed (see instructions)              b   Taxpayer identification number (TIN)

  c    Number, street, and room or suite no. If a P.O. box, see instructions.                                     d   Spouse’s TIN

  e    City or town                    f   State or province                       g   ZIP or foreign postal code h   Country

  i     If you are filing with your spouse a current-year joint income tax return and a joint Form 3520, check this box  . .     . . .        . .  .   .
  j     If an automatic 2-month extension applies for the U.S. person’s tax return, check this box and attach statement. See instructions .        .   .
  k     If an extension was requested for the tax return, check this box     and enter the form number of the tax return to be filed:
  2a    Name of foreign trust (if applicable)                                                                     b   Employer identification number (EIN), if any

  c    Number, street, and room or suite no. If a P.O. box, see instructions.                                     d   Date foreign trust was created

  e    City or town                    f   State or province                       g   ZIP or foreign postal code h   Country

  3     Did the foreign trust appoint a U.S. agent (defined in the instructions) who can provide the IRS with all relevant trust information?   Yes        No
        If “Yes,” complete lines 3a through 3g. If “No,” and you are required to complete Part I, complete lines 15 through 18.
  3a    Name of U.S. agent                                                                                        b   TIN, if any

  c    Number, street, and room or suite no. If a P.O. box, see instructions.

  d    City or town                    e   State or province                       f   ZIP or postal code         g   Country

  4a    Name of U.S. decedent (see instructions) b   Address                                                      c   TIN of decedent

  d    Date of death                                                                                              e   EIN of estate

  f     Check applicable box.
        U.S. decedent made transfer to a foreign trust by reason of death.
        U.S. decedent treated as owner of foreign trust immediately prior to death.
        Assets of foreign trust were included in estate of U.S. decedent.
For Privacy Act and Paperwork Reduction Act Notice, see instructions.                           Cat. No. 19594V                               Form 3520 (2022)

Form 3520 (2022)                                                                                                                                             Page 2
Part I   Transfers by U.S. Persons to a Foreign Trust During the Current Tax Year (see instructions)
5a    Name of trust creator                                  b   Address                                                   c   TIN, if any

6a    Country code of country where trust was created        b   Country code of country whose law governs the trust       c   Date trust was created

7a     Will any person (other than the foreign trust) be treated as the owner of the transferred assets after the transfer?  .    .  .  .          Yes           No
b                (i)                                           (ii)                                        (iii)                (iv)                    (v)  
         Name of foreign                                   Address                              Country of residence         TIN, if any           Relevant Code 
         trust owner                                                                                                                               section

8      Was the transfer a completed gift or bequest? If “Yes,” see instructions  .      . . .   .      .   . .      .  . . .  .   .  .  .          Yes           No
9a     Now or at any time in the future, can any part of the income or corpus of the trust benefit any U.S. beneficiary?  .       .  .  .          Yes           No
b      If “No,” could the trust be revised or amended to benefit a U.S. beneficiary?      . .   .      .   . .      .  . . .  .   .  .  .          Yes           No
10     Reserved for future use  .          . . . . . .    .    .     . . .  .   .    .  . . .   .      .   . .      .  . . .  .   .  .  .          Yes           No
                                  Schedule A—Obligations of a Related Trust (see instructions)
11 a   During the current tax year, did you transfer property (including cash) to a related foreign trust in exchange for an obligation 
       of the trust or an obligation of a person related to the trust? See instructions   . .   .      .   . .      .  . . .  .   .  .  .          Yes           No
       If “Yes,” complete the rest of Schedule A, as applicable. If “No,” go to Schedule B.
b      Were any of the obligations you received (with respect to a transfer described in line 11a above) qualified obligations?  .      .          Yes           No
       If  “Yes,”  complete  the  rest  of  Schedule  A  and  attach  a  copy  of  each  loan  document  entered  into  with  respect  to  each 
       qualified obligation reported on line 11b. If these documents have been attached to a Form 3520 filed within the previous 3 
       years, attach only relevant updates.
       If “No,” go to Schedule B. 
                 (i)                                 (ii)                                       (iii)                                   (iv) 
Date of transfer giving rise to obligation         Maximum term                           Yield to maturity                       FMV of obligation

12     With respect to each qualified obligation you reported on line 11b, do you agree to extend the period of assessment of any 
       income  or  transfer  tax  attributable  to  the  transfer,  and  any  consequential  income  tax  changes  for  each  year  that  the 
       obligation is outstanding, to a date 3 years after the maturity date of the obligation?  .      .   . .      .  . . .  .   .  .  .          Yes           No
       Note: You  have  the  right  to  refuse  to  extend  the  period  of  limitations  or  limit  this  extension  to  a  mutually  agreed-upon 
       issue(s) or mutually agreed-upon period of time. Generally, if you refuse to extend the period of limitations with respect to 
       each qualified obligation you reported on line 11b, then such obligation is not a qualified obligation and you cannot check 
       “Yes” to the question on line 11b. 
                                               Schedule B—Gratuitous Transfers (see instructions)
13     During the current tax year, did you make any transfers (directly or indirectly) to the trust and receive less than FMV, or no 
       consideration at all, for the property transferred?     .     . . .  .   .    .  . . .   .      .   . .      .  . . .  .   .  .  .          Yes           No
       If “Yes,” complete columns (a) through (i) below and the rest of Schedule B, as applicable. When completing columns (a) 
       through (i) with respect to each nonqualified obligation, enter -0- in column (h).
       If “No,” go to Schedule C.
   (a)           (b)              (c)                (d)                   (e)              (f)                  (g)            (h)                     (i) 
Date of      Description    FMV of property        U.S. adjusted       Gain recognized    Excess, if any,    Description   FMV of property         Excess of  
transfer     of property      transferred            basis of            at time of       of column (c)      of property     received              column (c) over 
             transferred                           property              transfer,      over the sum of      received,                             column (h)
                                                   transferred           if any         columns (d) and (e)      if any

Totals                                                                                  $                                                  $
14     If you have a sale or loan document in connection with a transfer reported on line 13, complete 14a through 14c and attach the relevant 
       document(s). If these documents have been attached to a Form 3520 filed within the previous 3 years, attach only relevant updates.
                                                                                                                                  Attached              Year 
       Are you attaching a copy of any of the following?                                                            Yes    No   Previously         Attached
a      Sale document     .  . .            . . . . . .    .    .     . . .  .   .    .  . . .   .      .   . .
b      Loan document     .  . .            . . . . . .    .    .     . . .  .   .    .  . . .   .      .   . .
c      Subsequent variances to original sale or loan documents  .        .  .   .    .  . . .   .      .   . .
                                                                                                                                                   Form 3520 (2022)

Form 3520 (2022)                                                                                                                                             Page 3
Part I     Schedule B—Gratuitous Transfers (continued)
Note: Complete lines 15 through 18 only if you are required to complete Part I and answered “No” to line 3, acknowledging that the foreign trust did 
not appoint a U.S. agent to provide the IRS with all relevant trust information. 
15                     (a)                                                               (b)                                                (c)             (d) 
           Name of beneficiary                                                     Address of beneficiary                            U.S. beneficiary?  TIN, if any
                                                                                                                                        Yes     No      

16                     (a)                                                                       (b)                                                        (c) 
           Name of trustee                                                                 Address of trustee                                           TIN, if any

17                     (a)                                                         (b)                                           (c)                        (d) 
       Name of other person                                 Address of other person with trust powers                    Description of powers          TIN, if any
           with trust powers

18     If you checked “No” on line 3, you are required to attach a copy of all trust documents as indicated below. If these documents have been 
       attached to a Form 3520-A or Form 3520 filed within the previous 3 years, attach only relevant updates.
                                                                                                                                         Attached       Year 
       Are you attaching a copy of any of the following?                                                          Yes        No         Previously     Attached
     a Summary of all written and oral agreements and understandings relating to the trust  .               . . .
     b Trust instrument  .  .  .   . .          .    .    . . . .   .     .      . .   . . .   .   .      . . . .
     c Memoranda or letters of wishes .         .    .    . . . .   .     .      . .   . . .   .   .      . . . .
     d Subsequent variances to original trust documents  .          .     .      . .   . . .   .   .      . . . .
     e Trust financial statements  . .          .    .    . . . .   .     .      . .   . . .   .   .      . . . .
     f Organizational chart and other trust documents  .        .   .     .      . .   . . .   .   .      . . . .
                  Schedule C—Qualified Obligations Outstanding in the Current Tax Year (see instructions)
19     Did you, at any time during your tax year, hold an outstanding obligation of a related foreign trust (or a person related to the 
       trust) that you reported as a qualified obligation in the current tax year?  .      .   .   .      . . . . .      . . .       .   .  .   .      Yes         No
       If “Yes,” complete columns (a) through (f) below for each obligation.
                                                                                                                                                        (f) 
       (a)                     (b)                              (c)                            (d)                           (e)                Does the obligation  
     Date of original       Tax year qualified              Amount of principal          Amount of interest      Balance of the outstanding        still meet the  
       obligation          obligation first reported      payments made during          payments made during      obligation at the end            criteria for a  
                                                            your tax year                  your tax year                 of the tax year        qualified obligation?
                                                                                                                                                   Yes       No

                                                                                                                                                   Form 3520 (2022)

Form 3520 (2022)                                                                                                                                                 Page 4
Part II         U.S. Owner of a Foreign Trust (see instructions)
20              (a)                                              (b)                                             (c)                    (d)                 (e) 
         Name of foreign                                       Address                              Country of tax residence          TIN, if any     Relevant Code 
            trust owner                                                                                                                                  section

21a    Country code of country where foreign trust was created   b   Country code of country whose law governs the trust            c   Date foreign trust was created

22      Did the foreign trust file Form 3520-A for the current tax year? .        . .   .   .  .    .  .    .   . .    . .   .      . .    .  .    .    Yes            No
        If “Yes,” attach the Foreign Grantor Trust Owner Statement you received from the foreign trust.
        If “No,” to the best of your ability, complete and attach a substitute Form 3520-A for the foreign trust. 
        See instructions for information on penalties for failing to complete and attach a substitute Form 3520-A.
23      Enter the gross value of the portion of the foreign trust that you are treated as owning at the end of your tax year .             .  $
Part III        Distributions to a U.S. Person From a Foreign Trust During the Current Tax Year (see instructions)
Note: If you received an amount from a portion of a foreign trust of which you are treated as the owner, only complete lines 24 and 27.
24      Enter cash amounts or FMV of property received, directly or indirectly, during your current tax year, from the foreign trust (exclude loans and 
        uncompensated use of trust property included on line 25).
        (a)                           (b)                            (c)                       (d)                           (e)                        (f) 
Date of distribution Description of property received     FMV of property received      Description of property        FMV of property           Excess of column (c) 
                                                              (determined on date        transferred, if any             transferred               over column (e)
                                                                of distribution)

Total    .  .    .   .    . .   .  .    .    . .    . .   .   .  .   .    .     . . .   .   .  .    .  .    .   . .    . .   .      . .    .  $
25    During your current tax year, did you (or a person related to you) receive a loan or uncompensated use of trust property from a 
      related foreign trust (including an extension of credit upon the purchase of property from the trust)?  .          .   .      . .    .  .    .    Yes            No
      If “Yes,” complete columns (a) through (g) below for each such loan or use of trust property.
      Note: See instructions for additional information, including how to complete columns (a) through (g) for use of trust property.
            (a)                    (b)                (c)                       (d)                 (e)                      (f)                        (g) 
                                                                                                                                                   Amount treated as 
FMV of loan proceeds        Date of original   Maximum term of            Interest rate     Is the obligation a        FMV of qualified       distribution from the trust 
                                                                                            qualified obligation?
      or property              transaction          repayment of          of obligation                                  obligation              (subtract column (f) 
                                                    obligation                                 Yes       No                                        from column (a))

Total    .  .    .   .    . .   .  .    .    . .    . .   .   .  .   .    .     . . .   .   .  .    .  .    .   . .    . .   .      . .    .  $
26    With  respect  to  each  obligation  you  reported  as  a  qualified  obligation  on  line  25,  do  you  agree  to  extend  the  period  of 
      assessment of any income or transfer tax attributable to the transaction, and any consequential income tax changes for each 
      year that the obligation is outstanding, to a date 3 years after the maturity date of the obligation?  .         . .   .      . .    .  .    .    Yes            No
      Note: You have the right to refuse to extend the period of limitations or limit this extension to a mutually agreed-upon issue(s) 
      or mutually agreed-upon period of time. Generally, if you refuse to extend the period of limitations with respect to an obligation 
      that you reported as a qualified obligation on line 25, then such obligation is not a qualified obligation and you cannot check 
      “Yes” in column (e) of line 25.
27    Total distributions received during your current tax year. Add line 24, column (f), and line 25, column (g)  .         .      . .    .  $
28    Did the trust, at any time during the current tax year, hold an outstanding obligation of yours (or a person related to you) that 
      you reported as a qualified obligation?       . .   .   .  .   .    .     . . .   .   .  .    .  .    .   . .    . .   .      . .    .  .    .    Yes            No
      If “Yes,” complete columns (a) through (f) below for each obligation.
        (a)                 (b)                       (c)                               (d)                              (e)                            (f) 
Date of original     Tax year qualified   Amount of principal payments      Amount of interest payments       Balance of the outstanding           Does the loan still 
loan transaction     obligation first      made during your tax year         made during your tax year            obligation at the end          meet the criteria of a 
                          reported                                                                                   of the tax year             qualified obligation?
                                                                                                                                                   Yes          No

                                                                                                                                                      Form 3520 (2022)

Form 3520 (2022)                                                                                                                          Page 5
Part III Distributions to a U.S. Person From a Foreign Trust During the Current Tax Year (continued)
29  Did you receive a Foreign Grantor Trust Beneficiary Statement from the foreign trust with respect to a distribution?         Yes No       N/A
    If “Yes,” attach the statement and do not complete the remainder of Part III with respect to that distribution.
    If “No,” complete Schedule A with respect to that distribution. Also, complete Schedule C if you enter an amount 
    greater than zero on line 37.
30  Did you receive a Foreign Nongrantor Trust Beneficiary Statement from the foreign trust with respect to a distribution?      Yes No       N/A
    If “Yes,” attach the statement and complete either Schedule A or Schedule B below. See instructions. Also, complete 
    Schedule C if you enter an amount greater than zero on line 37 or line 41a. 
    If “No,” complete Schedule A with respect to that distribution. Also, complete Schedule C if you enter an amount 
    greater than zero on line 37.
                          Schedule A—Default Calculation of Trust Distributions (see instructions)
31  Enter amount from line 27    . . . .       . . .   . . .     .  . .       . . .             . . . . . .    . . .          31
32  Number of years the trust has been a foreign trust, including the current tax year 
    (see instructions)  . . .    . . . .       . . .   . . .     .  . .       . . .               32
33  Enter total distributions received from the foreign trust during the 3 preceding tax years (or during the number 
    of years the trust has been a foreign trust, if fewer than 3 years, but excluding the current tax year)  . . . .          33
34  Multiply line 33 by 1.25  .  . . . .       . . .   . . .     .  . .       . . .             . . . . . .    . . .          34
35  Average distribution. Divide line 34 by 3.0 (or the number of years the trust has been a foreign trust, if fewer 
    than 3 years, but excluding the current tax year) and enter the result  . . . .             . . . . . .    . . .          35
36  Amount treated as ordinary income earned in the current tax year. Enter the smaller of line 31 or line 35    . .          36
37  Amount treated as accumulation distribution. Subtract line 36 from line 31. If zero, do not complete the rest of Part III 37
38  Applicable number of years of trust. Divide line 32 by 2.0 and enter the result here          38
                          Schedule B—Actual Calculation of Trust Distributions (see instructions)
39  Enter amount from line 27    . . . .       . . .   . . .     .  . .       . . .             . . . . . .    . . .          39
40a Amount treated as ordinary income in the current tax year  . .  . .       . . .             . . . . . .    . . .          40a
b   Qualified dividends   . .    . . . .       . . .   . . .     .  . .       . . .             40b
41a Amount treated as accumulation distribution. If zero, do not complete Schedule C below  .         . . .    . . .          41a
b   Amount of line 41a that is tax exempt  .   . . .   . . .     .  . .       . . .             41b
42a Amount treated as net short-term capital gain in the current tax year  .  . . .             . . . . . .    . . .          42a
b   Amount treated as net long-term capital gain in the current tax year  .   . . .             . . . . . .    . . .          42b
c   28% rate gain  .   .  . .    . . . .       . . .   . . .     .  . .       . . .             42c
d   Unrecaptured section 1250 gain   . .       . . .   . . .     .  . .       . . .             42d
43  Amount treated as distribution from trust corpus . . . .     .  . .       . . .             . . . . . .    . . .          43
44  Enter any other distributed amount received from the foreign trust not included on lines 40a, 41a, 42a, 42b, 
    and 43. (Attach explanation.)  . . .       . . .   . . .     .  . .       . . .             . . . . . .    . . .          44
45  Amount of foreign trust’s aggregate undistributed net income  . . .       . . .             . . . . . .    . . .          45
46  Amount of foreign trust’s weighted undistributed net income  .  . .       . . .             . . . . . .    . . .          46
47  Applicable number of years of trust. Divide line 46 by line 45 and enter the result 
    here  .      . . . .  . .    . . . .       . . .   . . .     .  . .       . . .               47
                                Schedule C—Calculation of Interest Charge (see instructions)
48  Enter accumulation distribution from line 37 or line 41a, as applicable   . . .             . . . . . .    . . .          48
 49 Enter tax on total accumulation distribution from line 28 of Form 4970. (Attach Form 4970—see instructions.)  .           49
50  Enter  applicable  number  of  years  of  foreign  trust  from  line  38  or  line  47,  as 
    applicable (round to nearest half year)  . . . .   . . .     .  . .       . . .               50
51  Combined interest rate imposed on the total accumulation distribution (see instructions)  .       . . .    . . .          51
52  Interest charge. Multiply the amount on line 49 by the combined interest rate on line 51  .       . . .    . . .          52
53  Tax attributable to accumulation distributions. Add lines 49 and 52. Enter here and as “additional tax” on your 
    income tax return  .  . .    . . . .       . . .   . . .     .  . .       . . .             . . . . . .    . . .          53 
                                                                                                                                     Form 3520 (2022)

Form 3520 (2022)                                                                                                                                         Page 6
Part IV         U.S. Recipients of Gifts or Bequests Received During the Current Tax Year From Foreign Persons (see instructions)
54    During your current tax year, did you receive more than $100,000 that you treated as gifts or bequests from a nonresident 
      alien (including a distribution received from a domestic trust treated as owned by a foreign person) or a foreign estate? See 
      instructions for special rules regarding related donors  .    . .        .   . .   .   .   .  .  .     . .  . . . . .     .     .    .  Yes                   No
      If “Yes,” complete columns (a) through (c) with respect to each such gift or bequest in excess of $5,000. If more space is 
      needed, attach a statement.
        (a)                                                                    (b)                                                            (c) 
Date of gift or bequest                                         Description of property received                                      FMV of property received

Total   .    .    . .  .   . . . .      .   .   .    . . .      . . . .        .   . .   .   .   .  .  .     . .  . . . . .     .     $
55    During your current tax year, did you receive amounts from a foreign corporation or a foreign partnership that you treated as 
      gifts in excess of the amount provided in the instructions? See instructions regarding related donors         . . . .     .     .    .  Yes                   No
      If “Yes,” complete columns (a) through (g) with respect to each such gift. If more space is needed, attach a statement.
        (a)                             (b)                                                        (c)                                        (d) 
     Date of gift            Name of foreign donor                                       Address of foreign donor                             TIN, if any

                       (e) 
Check the box that applies to the foreign donor                                          (f)                                                  (g) 
                                                                            Description of property received                          FMV of property received
   Corporation              Partnership                                                                                                    

56    Do you have any reason to believe that the foreign donor, in making any gift or bequest described in lines 54 and 55, was 
      acting as a nominee or intermediary for any other person? If “Yes,” see instructions          .  .     . .  . . . . .     .     .    .  Yes                   No
        Under penalties of perjury, I declare that I have examined this return, including any accompanying reports, schedules, or statements, and to the best of my 
Sign    knowledge and belief, it is true, correct, and complete.
Here
        Signature                                                                  Title                                              Date
             Print/Type preparer’s name                Preparer’s signature                            Date
Paid                                                                                                                  Check        if PTIN
                                                                                                                      self-employed
Preparer 
             Firm’s name                                                                                              Firm’s EIN
Use Only
             Firm’s address                                                                                           Phone no.
                                                                                                                                              Form 3520 (2022)