Employee stock purchase plan 2013 tax filing guide

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1 Employee stock purchase plan 2013 tax filing guide This guide will help you complete your annual U.S. tax forms if you participated in an employee stock purchase plan (ESPP) during We will go through three steps: 1. Determine if your plan is qualified or non-qualified 2. Determine if you met your holding requirements 3. Guide you through the appropriate example for your transaction(s) We urge you to consult with a personal tax advisor. UBS is not licensed to offer legal, accounting or tax advice and does not offer such advice. Tax implications vary widely depending on your specific transactions (please see back cover for important information). Table of contents Getting started 2 Is your plan qualified or non-qualified? Have you met the holding period? Gather your tax forms 3 Necessary documents Example 1: Qualified ESPP with 4 a qualifying disposition Example 2: Qualified ESPP with 8 a disqualifying disposition Example 3: Non-qualified ESPP 12 Know what s nexttm

2 Getting started ESPP stands for Employee Stock Purchase Plan. It means you can purchase shares of your company s stock as prescribed by the plan over a specified term, generally through regular payroll deductions. You may have tax implications if you purchased or sold ESPP shares in Your transactions can be treated as: Ordinary income Your monetary benefit is taxed much like pay. Usually, at least a portion of your taxable amount is considered ordinary income. Capital gain or loss Your monetary benefit is taxed at a more favorable rate. Before you can determine how to treat your transactions, you ll need to know if your plan is qualified or nonqualified. Step 1: Is your plan qualified or non-qualified? There are two types of ESPPs: Qualified plans, also known as Section 423 plans Non-qualified plans Your company most likely will let you know whether or not your plan is qualified. If you are uncertain, contact your HR representative. Do you have a qualified plan? If yes, you ll need to determine if you met the holding period. Go to Step 2 in the next column. Do you have a non-qualified plan? It s not subject to holding periods. Gather the forms shown on page 3, then turn to Example 3 on page 12 and begin filling out your tax forms. Step 2: Have you met the holding period? Under a qualified ESPP you don t have any tax implications until you sell your shares. Precisely what those implications are depends on whether you ve met the holding period. If you meet your holding period, you have a qualified disposition. That means a portion of your gain will be taxed at the more favorable long-term capital gains rate. If you do not meet your holding period, you have a disqualifying disposition. In this case, more of your gain is taxed as ordinary income. Determining if you have met the holding period Your UBS One Source Stock Purchase Report will note if your transaction is qualifying (met the holding period) or disqualifying (didn t meet the holding period). You can also determine this yourself. Follow these steps. You must meet both criteria to have satisfied your holding period. Determine the date two years after your grant date, noted in your plan documents. Determine the date one year after your purchase date, noted on your UBS Trade Confirmation. If you sold your shares after these two dates, you have a qualifying disposition, meaning you have met your holding period. Go to Example 1 on page 4 to learn how to report your transactions on your tax forms. When you don t meet the holding period If you sell your shares without having met this criteria, you have a disqualifying disposition. In this case, you will treat a larger portion as ordinary income than if you had met the holding period. Go to Example 2 on page 8 to learn how to report your transactions on your tax forms. Have you met the holding period? Gather the forms shown on page 3, then turn to Example 1 on page 4. Didn t meet the holding period? Gather the forms shown on page 3, then turn to Example 2 on page 8. Do you have a non-qualified plan? Gather the forms shown on page 3, then turn to Example 3 on page 12. Need help? We recommend you consult a personal tax advisor. UBS is not licensed to offer legal, accounting 2

3 Gather your tax forms Have A the following documents handy: B W-2 Wage and Tax Statement IRS Form 8949: sales and other dispositions C of capital assets* IRS Form 1040 (Schedule D): capital gains D and losses E UBS Trade Confirmation F UBS Form 1099-B G Form 3922 UBS One Source Stock Purchase Report SCHEDULE D (Form 1040) Department of the Treasury Internal Revenue Service (99) Name(s) shown on return Part I A C B C Capital Gains and Losses Attach to Form 1040 or Form 1040NR. Information about Schedule D and its separate instructions is at Use Form 8949 to list your transactions for lines 1b, 2, 3, 8b, 9, and 10. Short-Term Capital Gains and Losses Assets Held One Year or Less OMB No Attachment Sequence No. 12 Your social security number See instructions for how to figure the amounts to enter on the lines below. This form may be easier to complete if you round off cents to whole dollars. (sales price) Cost (or other basis) (h) Gain or (loss) Adjustments Subtract column to gain or loss from from column and Form(s) 8949, Part I, combine the result with line 2, column column Need a copy of your Trade Confirmation or 1099-B? To view or print copies, log in to the UBS One Source website and then click on the Statements and Reports tab. Then select Confirmations and Notices and select the month of your transaction. For a copy of your 1099-B, select Tax Reports and then highlight Have questions about your W-2 Wage and Tax Statement and Form 3922? Contact your company s payroll center. * Form 8949 is generally not required in circumstances where the cost/other basis is reported on the 1099-B and there are no adjustments. However, Form 1040 is always required. 1a Totals for all short-term transactions reported on Form 1099-B for which basis was reported to the IRS and for which you have no adjustments (see instructions). However, if you choose to report all these transactions on Form 8949, leave this line blank and go to line 1b. 1b Totals for all transactions reported on Form(s) 8949 with Box A checked Totals for all transactions reported on Form(s) 8949 with Box B checked Totals for all transactions reported on Form(s) 8949 with Box C checked Short-term gain from Form 6252 and short-term gain or (loss) from Forms 4684, 6781, and Net short-term gain or (loss) from partnerships, S corporations, estates, and trusts from Schedule(s) K Short-term capital loss carryover. Enter the amount, if any, from line 8 of your Capital Loss Carryover Worksheet in the instructions ( ) 7 Net short-term capital gain or (loss). Combine lines 1a through 6 in column (h). If you have any longterm capital gains or losses, go to Part II below. Otherwise, go to Part III on the back Part II Long-Term Capital Gains and Losses Assets Held More Than One Year See instructions for how to figure the amounts to enter on the (h) Gain or (loss) lines below. Adjustments Subtract column Cost to gain or loss from from column and This form may be easier to complete if you round off cents to (sales price) (or other basis) Form(s) 8949, Part II, combine the result with whole dollars. line 2, column column 8a Totals for all long-term transactions reported on Form 1099-B for which basis was reported to the IRS and for which you have no adjustments (see instructions). However, if you choose to report all these transactions D on Form 8949, leave this line blank and go to line 8b. 8b Totals for all transactions reported on Form(s) 8949 with Box D checked Totals for all transactions reported on Form(s) 8949 with Box E checked Totals for all transactions reported on Form(s) 8949 with Box F checked Gain from Form 4797, Part I; long-term gain from Forms 2439 and 6252; and long-term gain or (loss) from Forms 4684, 6781, and Net long-term gain or (loss) from partnerships, S corporations, estates, and trusts from Schedule(s) K Capital gain distributions. See the instructions Long-term capital loss carryover. Enter the amount, if any, from line 13 of your Capital Loss Carryover Worksheet in the instructions E ( ) 15 Net long-term capital gain or (loss). Combine lines 8a through 14 in column (h). Then go to Part III on the back For Paperwork Reduction Act Notice, see your tax return instructions. Cat. No H Schedule 2013 D (Form 1040) G CORRECTED CORPORATION'S name, street address, city or town, state or province, 1 Date option granted OMB No country, and ZIP or foreign postal code F CORPORATION'S federal identification number EMPLOYEE S identification number EMPLOYEE S name Street address (including apt. no.) 2 Date option exercised 3 Fair market value per share on grant date 5 Exercise price paid per share 7 Date legal title transferred Form 3922 (Rev. August 2013) Transfer of Stock Acquired Through an Employee Stock Purchase Plan Under Section 423(c) 4 Fair market value per share Copy B on exercise date For Employee 6 No. of shares transferred This is important tax information and is 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 exercised on the date shown in box 1. Account number (see instructions) Form 3922 (Rev ) (keep for your records) Department of the Treasury - Internal Revenue Service 3

4 Example 1: Qualified ESPP with a qualifying disposition In this example, we will go through the four steps to calculate and report your ordinary income and capital gains or losses on sales where you have a qualifying disposition, meaning you met your plan s holding period (see page 2). Step 1: Determine your taxable ordinary income Step 2: Determine capital gains and losses Step 3: Complete Form 8949 Step 4: Complete Schedule D (Form 1040) Only purchased ESPP shares in 2013? No need to report anything to the IRS. With qualified ESPPs, you are only taxed when you dispose of shares. For this example, you will need: Form 3922, mailed to you early 2014 UBS Trade Confirmation Form 1099-B IRS Form 8949 Schedule D (Form 1040) Assumptions for Example 1: Base salary: 50,000 Purchase date: 02/01/ shares b Market value per share at offering: a Discount per share: 15% Market value per share at purchase: Purchase price per share: Sale date: 12/03/2013 Sale price per share: c d CORPORATION'S name, street address, city or town, state or province, country, and ZIP or foreign postal code CORPORATION'S federal identification number EMPLOYEE S identification number EMPLOYEE S name Street address (including apt. no.) City or town, state or province, country, and ZIP or foreign postal code Account number (see instructions) CORRECTED 1 Date option granted 2 Date option exercised 3 Fair market value per share on grant date 5 Exercise price paid per share 7 Date legal title transferred Form 3922 (Rev ) (keep for your records) OMB No Form 3922 (Rev. August 2013) 4 Fair market value per share on exercise date 6 No. of shares transferred 8 Exercise price per share determined as if the option was exercised on the date shown in box a d b Transfer of Stock Acquired Through an Employee Stock Purchase Plan Under Section 423(c) Copy B For Employee This is important tax information and is being furnished to the Internal Revenue Service. Department of the Treasury - Internal Revenue Service Step 1 Determine your taxable ordinary income For this calculation, consult your UBS One Source Stock Purchase report and the IRS Form 3922 mailed to you the year you purchased your shares (available on UBS One Source if you cannot locate yours). c Calculation To determine your taxable ordinary income, perform the two calculations shown at right. The lesser of the two final numbers is your taxable ordinary income. 1 Enter this number on IRS Form 8949, Part II, column as shown on page 6. #1 The fair market value per share at grant date a Times discount (15%) x Times number of x 100 shares b #2 Sale price per share c Minus purchase price per share d Times number of x 100 shares b 1,

5 Step 2 Determine capital gains and losses When you sell shares, you realize a capital gain or loss. You will need to report that amount on your taxes. First, locate the Amount credited 2 on your UBS Trade Confirmation (shown at left). ( Amount credited is also referred to as on IRS Form 8949 and Form 1040, Schedule D.) Enter this number on IRS Form 8949, as shown on page 6. 2 Next, locate the following information on your Form 1099-B (shown at right). Date acquired 3 Date sold 4 Cost or other basis amounts Enter each of these numbers on IRS Form 8949, as shown on page 6. 5

6 Step 3 Complete Form 8949 To fill out IRS Form 8949, use the information you pulled from: your IRS Form your UBS Trade Confirmation 2 Form 1099-B Since this example is for a qualified disposition, meaning you met the holding period by selling your shares 1+ years after your purchase date and 2+ after your grant date, it is a long-term transaction. Report it in Part II on Form Check (D) under Part II In column (a), enter a description, i.e. 100 shares, XYZ company In column (f), enter B to indicate that the basis shown in box 3 of the 1099-B is not complete Subtract and from to determine capital gain or loss, in this case a gain of 975 Form 8949 (2013) Attachment Sequence No. 12A Page 2 Name(s) shown on return. (Name and SSN or taxpayer identification no. not required if shown on other side.) Social security number or taxpayer identification number Most brokers issue their own substitute statement instead of using Form 1099-B. They also may provide basis information (usually your cost) to you on the statement even if it is not reported to the IRS. Before you check Box D, E, or F below, determine whether you received any statement(s) and, if so, the transactions for which basis was reported to the IRS. Brokers are required to report basis to the IRS for most stock you bought in 2011 or later. Part II Long-Term. Transactions involving capital assets you held more than one year are long term. For short-term transactions, see page 1. Note. You may aggregate all long-term transactions reported on Form(s) 1099-B showing basis was reported to the IRS and for which no adjustments or codes are required. Enter the total directly on Schedule D, line 8a; you are not required to report these transactions on Form 8949 (see instructions). You must check Box D, E, or F below. Check only one box. If more than one box applies for your long-term transactions, complete a separate Form 8949, page 2, for each applicable box. If you have more long-term transactions than will fit on this page for one or more of the boxes, complete as many forms with the same box checked as you need. 6 (D) Long-term transactions reported on Form(s) 1099-B showing basis was reported to the IRS (see Note above) (E) Long-term transactions reported on Form(s) 1099-B showing basis was not reported to the IRS (F) Long-term transactions not reported to you on Form 1099-B 1 (a) Description of property (Example: 100 sh. XYZ Co.) (b) Date acquired (Mo., day, yr.) (c) Date sold or disposed (Mo., day, yr.) (sales price) (see instructions) Cost or other basis. See the Note below and see Column in the separate instructions Adjustment, if any, to gain or loss. If you enter an amount in column, enter a code in column (f). See the separate instructions. (f) Code(s) from instructions Amount of adjustment (h) Gain or (loss). Subtract column from column and combine the result with column 100 shares, XYZ company 2/01/10 12/03/13 3, , B (525)

7 Step 4 Complete Schedule D (Form 1040) Since in this example, the holding period was met, the transaction is considered a long-term capital gain or loss. Therefore, fill out Part II only. In each appropriate section, enter information from Form 8949 as follows: from column 2 Cost or other basis from column 5 Amount of adjustment from column 1 Gain or loss from column (h) 9 Complete the remainder of Schedule D and report appropriately on Form SCHEDULE D (Form 1040) Department of the Treasury Internal Revenue Service (99) Name(s) shown on return Capital Gains and Losses Attach to Form 1040 or Form 1040NR. Information about Schedule D and its separate instructions is at Use Form 8949 to list your transactions for lines 1b, 2, 3, 8b, 9, and 10. OMB No Attachment Sequence No. 12 Your social security number Part I Short-Term Capital Gains and Losses Assets Held One Year or Less See instructions for how to figure the amounts to enter on the lines below. This form may be easier to complete if you round off cents to whole dollars. (sales price) Cost (or other basis) Adjustments to gain or loss from Form(s) 8949, Part I, line 2, column (h) Gain or (loss) Subtract column from column and combine the result with column 1a Totals for all short-term transactions reported on Form 1099-B for which basis was reported to the IRS and for which you have no adjustments (see instructions). However, if you choose to report all these transactions on Form 8949, leave this line blank and go to line 1b. 1b Totals for all transactions reported on Form(s) 8949 with Box A checked Totals for all transactions reported on Form(s) 8949 with Box B checked Totals for all transactions reported on Form(s) 8949 with Box C checked Leave Part I blank. 4 Short-term gain from Form 6252 and short-term gain or (loss) from Forms 4684, 6781, and Net short-term gain or (loss) from partnerships, S corporations, estates, and trusts from Schedule(s) K Short-term capital loss carryover. Enter the amount, if any, from line 8 of your Capital Loss Carryover Worksheet in the instructions ( ) 7 Net short-term capital gain or (loss). Combine lines 1a through 6 in column (h). If you have any longterm capital gains or losses, go to Part II below. Otherwise, go to Part III on the back Part II Long-Term Capital Gains and Losses Assets Held More Than One Year See instructions for how to figure the amounts to enter on the lines below. This form may be easier to complete if you round off cents to whole dollars. (sales price) Cost (or other basis) Adjustments to gain or loss from Form(s) 8949, Part II, line 2, column (h) Gain or (loss) Subtract column from column and combine the result with column 8a Totals for all long-term transactions reported on Form 1099-B for which basis was reported to the IRS and for which you have no adjustments (see instructions). However, if you choose to report all these transactions on Form 8949, leave this line blank and go to line 8b. 8b Totals for all transactions reported on Form(s) 8949 with Box D checked Totals for all transactions reported on Form(s) 8949 with Box E checked Totals for all transactions reported on Form(s) 8949 with For illustrative Box F checked. purposes only.. This.. is meant.. to. be. an. example... only.. You. should not rely on it for your tax reporting. Not all portions of this example may 11 be applicable Gain from to Form your transaction(s). 4797, Part I; Need long-term help? We gain recommend from Forms you consult 2439 and a personal 6252; tax and advisor. long-term UBS is not gain licensed or (loss) to offer legal, accounting or tax advice from and Forms does 4684, not offer 6781, such and advice Net long-term gain or (loss) from partnerships, S corporations, estates, and trusts from Schedule(s) K-1 12

8 Example 2: Qualified ESPP with a disqualifying disposition In this example, we will go through the four steps to calculate and report your ordinary income and capital gains or losses on sales where you have a disqualifying disposition, meaning you did not meet your plan s holding period (see page 2). Step 1: Determine your taxable ordinary income Step 2: Determine capital gains and losses Step 3: Complete Form 8949 Step 4: Complete Schedule D (Form 1040) Only purchased ESPP shares in 2013? No need to report anything to the IRS. With qualified ESPPs, you are only taxed when you dispose of shares. For this example, you will need: Form 3922, mailed to you early 2014 OR UBS One Source Stock Purchase Report AND UBS Trade Confirmation Form 1099-B IRS Form 8949 Schedule D (Form 1040) Assumptions for Example 2: Base salary: 50,000 Purchase date: 12/15/ shares a Market value per share at purchase: b Purchase price per share: c Sale date: 7/11/2013 Sale price per share: Discount per share: 15% Step 1 Determine your taxable ordinary income Consult your UBS One Source Stock Purchase report or your IRS Form 3922 for this calculation. c b a CORPORATION'S name, street address, city or town, state or province, country, and ZIP or foreign postal code CORPORATION'S federal identification number EMPLOYEE S identification number EMPLOYEE S name Street address (including apt. no.) City or town, state or province, country, and ZIP or foreign postal code Account number (see instructions) CORRECTED 1 Date option granted 2 Date option exercised 3 Fair market value per share on grant date 5 Exercise price paid per share 7 Date legal title transferred Form 3922 (Rev ) (keep for your records) OMB No Form 3922 (Rev. August 2013) 4 Fair market value per share on exercise date 6 No. of shares transferred 8 Exercise price per share determined as if the option was exercised on the date shown in box 1. c b a Transfer of Stock Acquired Through an Employee Stock Purchase Plan Under Section 423(c) Copy B For Employee This is important tax information and is being furnished to the Internal Revenue Service. Department of the Treasury - Internal Revenue Service Calculation Total market value at exercise date ( a x b ) 23, Minus total purchase price ( a x c ) 20, Taxable ordinary income ( a x b ) ( a x c ) 3, Enter this number on IRS Form 8949, Part I, column as shown on page 10. 8

9 Step 2 Determine capital gains and losses When you sell shares, you realize a capital gain or loss. You will need to report that amount on your taxes. First, locate the Amount credited 2 on your UBS Trade Confirmation (shown at left). ( Amount credited is also referred to as on IRS Form 8949 and Form 1040, Schedule D.) Enter this number on IRS Form 8949, as shown on page Next, locate the following information on your Form 1099-B (shown at right). Date acquired 3 Date sold 4 Cost or other basis amounts 5 Enter each of these numbers on IRS Form 8949, as shown on page

10 Step 3 Complete Form 8949 To fill out IRS Form 8949, use the information you pulled from: your UBS One Source Stock Purchase Report OR IRS Form your UBS Trade Confirmation 2 Form 1099-B Since this example is for a disqualifying disposition, meaning the sale took place before one year from the purchase date, you report this as a short-term transaction in Part I on Form Check (A) under Part I In column (a), enter a description, i.e. 750 shares, XYZ company In column (f), enter B to indicate that the basis shown in box 3 of the 1099-B is not complete Subtract and the value of from to determine capital gain or loss, in this case a gain of shares, XYZ company 12/15/12 7/11/13 27, , B (3,585) 3,

11 Step 4 Complete Schedule D (Form 1040) Since in this example, shares were held for one year or less, the transaction is considered a short-term capital gain or loss. Therefore, fill out Part I only. In each appropriate section, enter information from Form 8949 as follows: from column 2 Cost or other basis from column 5 Amount of adjustment from column 1 Gain or loss from column (h) 9 Complete the remainder of Schedule D and report appropriately on Form SCHEDULE D (Form 1040) Department of the Treasury Internal Revenue Service (99) Name(s) shown on return Capital Gains and Losses Attach to Form 1040 or Form 1040NR. Information about Schedule D and its separate instructions is at Use Form 8949 to list your transactions for lines 1b, 2, 3, 8b, 9, and 10. OMB No Attachment Sequence No. 12 Your social security number Part I Short-Term Capital Gains and Losses Assets Held One Year or Less See instructions for how to figure the amounts to enter on the lines below. This form may be easier to complete if you round off cents to whole dollars. (sales price) Cost (or other basis) Adjustments to gain or loss from Form(s) 8949, Part I, line 2, column (h) Gain or (loss) Subtract column from column and combine the result with column 1a Totals for all short-term transactions reported on Form 1099-B for which basis was reported to the IRS and for which you have no adjustments (see instructions). However, if you choose to report all these transactions on Form 8949, leave this line blank and go to line 1b. 1b Totals for all transactions reported on Form(s) 8949 with Box A checked Totals for all transactions reported on Form(s) 8949 with Box B checked Totals for all transactions reported on Form(s) 8949 with Box C checked Short-term gain from Form 6252 and short-term gain or (loss) from Forms 4684, 6781, and Net short-term gain or (loss) from partnerships, S corporations, estates, and trusts from Schedule(s) K Short-term capital loss carryover. Enter the amount, if any, from line 8 of your Capital Loss Carryover Worksheet in the instructions ( ) 7 Net short-term capital gain or (loss). Combine lines 1a through 6 in column (h). If you have any longterm capital gains or losses, go to Part II below. Otherwise, go to Part III on the back Part II Long-Term Capital Gains and Losses Assets Held More Than One Year See instructions for how to figure the amounts to enter on the lines below. This form may be easier to complete if you round off cents to whole dollars. (sales price) Cost (or other basis) Adjustments to gain or loss from Form(s) 8949, Part II, line 2, column (h) Gain or (loss) Subtract column from column and combine the result with column 8a Totals for all long-term transactions reported on Form 1099-B for which basis was reported to the IRS and for which you have no adjustments (see instructions). However, if you choose to report all these transactions on Form 8949, leave this line blank and go to line 8b. Leave Part II blank. 8b Totals for all transactions reported on Form(s) 8949 with Box D checked Totals for all transactions reported on Form(s) 8949 with Box E checked For 10 illustrative Totals for purposes all transactions only. This is reported meant to on be Form(s) an example 8949 only. with You should not rely on it for your tax reporting. Not all portions of this example may be applicable Box F checked. to your transaction(s)..... Need.. help?.. We. recommend... you. consult a personal tax advisor. UBS is not licensed to offer legal, accounting or tax 11 advice Gain and from does Form not offer 4797, such Part advice. I; long-term gain from Forms 2439 and 6252; and long-term gain or (loss) from Forms 4684, 6781, and

12 Example 3: Non-qualified ESPP With non-qualified plans, you have potential tax implications at two points in time: 1) at time of purchase, if you received a discount on your share price 2) when you sell your shares In this example, we will go through the four steps to report your taxable ordinary income and capital gains or losses on your taxes. Step 1: Determine your taxable ordinary income Step 2: Determine capital gains and losses Step 3: Complete Form 8949 Step 4: Complete Schedule D (Form 1040) For this example, you will need: Form 3922, mailed to you early 2014 OR UBS One Source Stock Purchase Report AND UBS Trade Confirmation Form 1099-B IRS Form 8949 Schedule D (Form 1040) Sold your shares in 2013? You will need to determine your capital gain or loss. Complete Steps 1-4. Only purchased shares in 2013? With non-qualified plans, you are taxed when you purchase shares. This amount will be included on your W-2. Assumptions for Example 3: Base salary: 50,000 Purchase date: 12/15/ shares a Market value per share at purchase: b Purchase price per share: c Sale date: 7/11/2013 Sale price per share: Discount per share: 15% c b a Step 1 Determine your taxable ordinary income Generally, your ordinary income is listed on your W-2 the year you purchased your non-qualified shares. You can also calculate it by consulting your UBS One Source Stock Purchase report and the IRS Form 3922 mailed to you when you purchased your shares (available on UBS One Source if you cannot locate yours). CORPORATION'S name, street address, city or town, state or province, country, and ZIP or foreign postal code CORPORATION'S federal identification number EMPLOYEE S identification number EMPLOYEE S name Street address (including apt. no.) City or town, state or province, country, and ZIP or foreign postal code Account number (see instructions) CORRECTED 1 Date option granted 2 Date option exercised 3 Fair market value per share on grant date 5 Exercise price paid per share 7 Date legal title transferred Form 3922 (Rev ) (keep for your records) OMB No Form 3922 (Rev. August 2013) 4 Fair market value per share on exercise date 6 No. of shares transferred 8 Exercise price per share determined as if the option was exercised on the date shown in box 1. c b a Transfer of Stock Acquired Through an Employee Stock Purchase Plan Under Section 423(c) Copy B For Employee This is important tax information and is being furnished to the Internal Revenue Service. Department of the Treasury - Internal Revenue Service Calculation Total market value at exercise date ( a x b ) 23, Minus total purchase price ( a x c ) 20, Taxable ordinary income ( a x b ) ( a x c ) 3, Enter this number on IRS Form 8949, Part I, column as shown on page

13 Step 2 Determine capital gains and losses When you sell shares, you realize a capital gain or loss. You will need to report that amount on your taxes. First, locate the Amount credited 2 on your UBS Trade Confirmation (shown at left). ( Amount credited is also referred to as on IRS Form 8949 and Form 1040, Schedule D.) Enter this number on IRS Form 8949, as shown on page Next, locate the following information on your Form 1099-B (shown at right). Date acquired 3 Date sold 4 Cost or other basis amounts 5 Enter each of these numbers on IRS Form 8949, as shown on page

14 Step 3 Complete Form 8949 To fill out IRS Form 8949, use the information you pulled from: your UBS One Source Stock Purchase Report OR IRS Form your UBS Trade Confirmation 2 Form 1099-B Since in this example, non-qualified ESPP shares were sold before one year, you report the gains as a short-term transaction in Part I on Form Check (A) under Part I In column (a), enter a description, i.e. 750 shares, XYZ company In column (f), enter B to indicate that the basis shown in box 3 of the 1099-B is not complete Subtract and the value of from to determine capital gain or loss, in this case a gain of shares, XYZ company 12/15/12 7/11/13 27, , B (3,585) 3,

15 Step 4 Complete Schedule D (Form 1040) Since in this example, shares were held for one year or less, the transaction is considered a short-term capital gain or loss. Therefore, fill out Part I only. (Held your shares for more than one year? Simply fill in Part II on Schedule D, and leave Part I blank.) In each appropriate section, enter information from Form 8949 as follows: from column 2 Cost or other basis from column 5 Amount of adjustment from column 1 Gain or loss from column (h) 9 Complete the remainder of Schedule D and report appropriately on Form Held your shares for more than one year? Simply fill in Part II on Schedule D, and leave Part I blank. SCHEDULE D (Form 1040) Department of the Treasury Internal Revenue Service (99) Name(s) shown on return Capital Gains and Losses Attach to Form 1040 or Form 1040NR. Information about Schedule D and its separate instructions is at Use Form 8949 to list your transactions for lines 1b, 2, 3, 8b, 9, and 10. OMB No Attachment Sequence No. 12 Your social security number Part I Short-Term Capital Gains and Losses Assets Held One Year or Less See instructions for how to figure the amounts to enter on the lines below. This form may be easier to complete if you round off cents to whole dollars. (sales price) Cost (or other basis) Adjustments to gain or loss from Form(s) 8949, Part I, line 2, column (h) Gain or (loss) Subtract column from column and combine the result with column 1a Totals for all short-term transactions reported on Form 1099-B for which basis was reported to the IRS and for which you have no adjustments (see instructions). However, if you choose to report all these transactions on Form 8949, leave this line blank and go to line 1b. 1b Totals for all transactions reported on Form(s) 8949 with Box A checked Totals for all transactions reported on Form(s) 8949 with Box B checked Totals for all transactions reported on Form(s) 8949 with Box C checked Short-term gain from Form 6252 and short-term gain or (loss) from Forms 4684, 6781, and Net short-term gain or (loss) from partnerships, S corporations, estates, and trusts from Schedule(s) K Short-term capital loss carryover. Enter the amount, if any, from line 8 of your Capital Loss Carryover Worksheet in the instructions ( ) 7 Net short-term capital gain or (loss). Combine lines 1a through 6 in column (h). If you have any longterm capital gains or losses, go to Part II below. Otherwise, go to Part III on the back Part II Long-Term Capital Gains and Losses Assets Held More Than One Year See instructions for how to figure the amounts to enter on the lines below. This form may be easier to complete if you round off cents to whole dollars. (sales price) Cost (or other basis) Adjustments to gain or loss from Form(s) 8949, Part II, line 2, column (h) Gain or (loss) Subtract column from column and combine the result with column 8a Totals for all long-term transactions reported on Form 1099-B for which basis was reported to the IRS and for which you have no adjustments (see instructions). However, if you choose to report all these transactions on Form 8949, leave this line blank and go to line 8b. Leave Part II blank. 8b Totals for all transactions reported on Form(s) 8949 with For illustrative Box D purposes checked only.. This.. is meant.. to. be. an. example... only.. You. should not rely on it for your tax reporting. Not all portions of this example may 9 be applicable Totals for to all your transactions transaction(s). reported Need help? on Form(s) We recommend 8949 with you consult a personal tax advisor. UBS is not licensed to offer legal, accounting or tax advice Box and E checked does not offer. such.. advice Totals for all transactions reported on Form(s) 8949 with Box F checked

16 * UBS AG and its affiliates do not provide tax advice. Accordingly, any discussion of U.S. tax matters contained herein (including any attachments) is not intended or written to be used, and cannot be used, in conjunction with the promotion, marketing or recommendation by anyone unaffiliated with UBS AG or any of the matters addressed herein or for the purpose of avoiding U.S. tax-related penalties. UBS The key symbol and UBS are among the registered and unregistered trademarks of UBS. All rights reserved. UBS Financial Services Inc. is a subsidiary of UBS AG. Member FINRA/SIPC. ubs.com/fs

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