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Massachusetts Form 3921: What You Should Know

Your employer's stock is held on a tax-exempt account by that employer. To determine the amount of your compensation, add the fair market value of it, rounded to the nearest whole dollar, to your base compensation (if that amounts to more than one thousand dollars, add 1,000). For this purpose, the fair market value is your share of the corporation's stock on a given day; the corporation's stock value reflects a number of factors, including the price you paid for it and the value it receives in trade, plus an adjustment to account for all dividends and rights on the stock. If you were treated as receiving stock under the employee stock ownership plan under section 410 of the Internal Revenue Code, you may be entitled to a bonus under the plan on the basis that you transferred stock to a qualified retirement plan.  Form 3921-XI (Rev. July 2014) Form 3921-XI will generally be filed by the Form 1128A with respect to qualified plans which file Forms 990-EZ and 990-PF. This form will not be filed with an account from a separate plan which does not file these forms. For the purpose of this form, “qualified” shall have the meaning given to it in Section 457(b)(5) of the Code, the terms “plan” and “plan participant” are to be read to mean “qualified plan” and “qualifying retiree” shall mean a person described in Section 1(a)(50) of the Code.  Form 3921-S1 (Rev. October 2013) Instructions for Employee.

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