83 (B) Election Memorandum Founder's Workbench
83 (B) Election Memorandum Founder's Workbench
83 (B) Election Memorandum Founder's Workbench
For your convenience, we are providing the attached blank Section 83(b) election form for your
consideration. We strongly recommend that you consult your tax, accounting and/or legal
advisors and consider filing a Section 83(b) election with the United States Internal Revenue
Service for each founder whose units are subject to vesting and possible forfeiture.
INTERNAL REVENUE SERVICE WITHIN THIRTY (30) DAYS AFTER THE PURCHASE
strongly recommend that you (i) review the 83(b) Election Memorandum found on the Founder’s
Workbench and (ii) consult with your tax, accounting and/or legal advisors and consider filing a
Section 83(b) election with the United States Internal Revenue Service.
FORM
* * *
This memorandum is not intended or written to be used, and it cannot be used, by any
taxpayer for the purpose of avoiding United States federal income tax penalties that may be
imposed on the taxpayer. Further, this memorandum is not intended or written to be used,
and cannot be used, for the purpose of promoting, marketing or recommending to another
party any transaction or matter addressed herein. Taxpayers should seek advice based on
their own particular circumstances from an independent tax advisor. The foregoing notice
is intended to satisfy the requirements for written tax advice under Section 10.35 of
Internal Revenue Service Circular 230.
Election to Include in Gross Income
in Year of Transfer of Property
Pursuant to Section 83(b) of the Internal Revenue Code
The undersigned hereby makes an election pursuant to Section 83(b) of the Internal
Revenue Code with respect to the property described below and supplies the following
information in accordance with the regulations promulgated thereunder:
1. The name, address and taxpayer identification number of the undersigned are:
Name: _____________________________________________________________
Address: _____________________________________________________________
_____________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
7. A copy of this statement has been furnished to the Company issuing property.
Date: __________________________
____________________________________
Name: