NONDIVIDEND DISTRIBUTION RECLASSIFICATION CONTROL
Reporting Year: 2026
Security CUSIP/Identifier:
Issuer Name:
Date of Corporate Action Notice:

SYSTEM MAPPING DATA
[ ] Issuer Form 5452 or reclassification notice reviewed
[ ] Distribution date(s) verified
Original Box 1a (Ordinary Dividends) aggregate: $
Reclassification Percentage (Return of Capital): %
Calculated Box 3 (Nondividend Distribution): $
Revised Box 1a Amount: $

CASH CONSTANT RECONCILIATION
Total Cash Disbursed for Security: $
Sum of Revised Box 1a + Box 3 + Capital Gains: $
Variance (Must be zero): $

BASIS SYSTEM HANDOFF
[ ] Box 3 amount transmitted to cost basis tracking engine
[ ] Lot adjustment logic verified for covered shares

AUTHORIZATION
Prepared By:
Date:
Approved By (Tax Operations):
Date:
[ ] Retain this checklist with the corporate action source document.