ELECTION UNDER SECTION 83(B)
OF THE INTERNAL REVENUE CODE OF 1986
The undersigned taxpayer hereby elects, pursuant to Section 83(b) of the Internal Revenue Code of 1986, as amended, to include in taxpayer’s gross income for the current taxable year, the amount of any compensation taxable to taxpayer in connection with taxpayer’s receipt of the property described below. The following information is supplied in accordance with Treasury Regulation § 1.83-2:
1. The name, address and tax identification number of the undersigned, and the taxable year for which this election is being made, are as follows: