Dear ReformAMT Member:

Your help is essential in getting us to the next step in resolving the AMT/ISO disaster.

As you know, we have been working hard with the Coalition for Tax Fairness to produce a legislative solution that addresses everone's problems - whether you are saddled with AMT credits or AMT liabilities with penalties and interest, or whether you are facing bankruptcy or have a lien on your assets. We have amassed a great amount of support within Congress (including members from the House Ways and Means Committee, the Senate Finance Committee, and others), and we have met with the Joint Committee on Taxation to determine the revenue effects of our proposed legislation.

This is groundbreaking progress on the legislative solution. Your answers to the questions below will give the Joint Committee on Taxation information to help them with their revenue estimates. We will be providing other industry information as well, but the membership of ReformAMT provides a unique and comprehensive portrayal of the cause and effects of this problem.

Rest assured that your participation in this questionnaire is completely anonymous. No names or other identifying information is collected or transmitted.

Thank you for your time in helping us solve this catastrophe.

ReformAMT

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Your Initial Situation

1. What was your role(s) in the company at the time your received your ISOs? (Check all that apply)
   Individual Contributor
   Manager
   Executive
   Founder
   
   
2. In what industry does your company(s) participate? (Check all that apply)
   High-technology
   Manufacturing
   Bio-technology
   Financial
   Energy and Mining
   Retail Sales
   Transportation
   Other, please specify:
   
   
3. Does your current employer offer ISOs?
   Yes
   No
   
   
4. What describes your situation? (Check all that apply)
   Have been affected by AMT on ISOs in this or prior years
   Will be affected by AMT on ISOs in future years
   Concerned about AMT on ISOs
   Have been affected by AMT not because of ISOs
   Concerned about AMT in general
   Have had or have now Non-Qualified Stock Options
   Have a family member or friend affected by AMT
   
   

Your Exercise of ISOs

5. In what year were you granted ISOs? (Check all that apply)
   

   before 1996	1996	1997	1998
   1999	2000	2001	2002
   2003	2004	2005

   
   
6. In what year did you exercise ISOs? (Check all that apply)
   

   before 1996	1996	1997	1998
   1999	2000	2001	2002
   2003	2004	2005

   
   
7. In what year did you sell or otherwise dispose of the stock? (Check all that apply)
   

   before 1996	1996	1997	1998
   1999	2000	2001	2002
   2003	2004	2005

   
   
8. Are you still holding a portion or all of the stock?
   Yes
   No
   
   

AMT Consequences

9. Did you know anyone who (Check all that apply) :
   Did not report the exercise of their ISOs
   Revalued the fair market value of the stock price
   Reported a different quantity or date of exercise than the actual quantity or date
   How many people do you know fit the above criteria?
   
   
10. How many people do you know expatriated (ie - left the country because of AMT on ISOs)?
    
    
    
11. What dollar amount of your AMT taxes were attributed to ISOs, not including any penalties or interest (Estimates are acceptable)?
    $ Please round to the dollar
    
    
12. Were you able to pay your AMT liability timely, and in full?
    Yes
    No
    
    If your answer was No, how much of your liability is still outstanding, not including any penalties or interest (Estimates are acceptable)?
    $ Please round to the dollar
    
    How much of your liability is penalties and interest (Estimates are acceptable)?
    $ Please round to the dollar
    
    
13. How large is your pending AMT credit (Estimates are acceptable)?
    $ Please round to the dollar
    
    
14. Did you submit an Offer in Compromise?
    Yes
    No
    
    If your answer was Yes, how many have your submitted?
    
    What is the current status of your latest OIC?
    

    Pending	Initial Rejected / No Appeal
    Initial Rejected / Appeal Pending	Appeal Rejected

    
    
15. Have you taken your case to court?
    Yes
    No, but considering
    No, not considering
    
    If your answer was Yes, what is the status?
    

    Pending Trial	In Trial
    Won in Trial	Lost in Trial / No Appeal
    Lost in Trial / Appeal Pending	Appeal In Trial
    Won in Appeals	Lost in Appeals

    
    
16. Have you filed for bankruptcy?
    Yes
    No, but considering
    No, not considering
    
    If your answer was Yes, what is the status?
    Pending
    Complete
    
    

Optional Question(s)

17. Taking your worst AMT year, what would be your effective tax rate (Estimates are acceptable)?
    For example, if your salary was $50,000 and your AMT was $100,000, your effective tax rate would be 200%.
    %