QSBS RECORDS CHECKLIST — QSBS Facts September 17, 2026 Guide and sources: https://qsbsfacts.org/qsbs-eligibility/#records-checklist Use a separate copy for each issuer and acquisition lot. This is a document inventory, not a certification that stock qualifies. Record unknowns for review with your tax adviser. A company letter alone does not establish eligibility. Complete and store this file privately. QSBS Facts does not receive your completed copy. Issuer / lot: ____________________ Review date: ____________________ Status key: received / requested / unavailable / adviser review needed RECORDS YOU MAY ALREADY HAVE [ ] Stock purchase or subscription agreements, exercise confirmations, payment evidence, and stock ledger entries for each lot. Status / record location / question: ______________________________ [ ] Grant, exercise, vesting, and acquisition dates; any restricted-stock election and filing evidence. Status / record location / question: ______________________________ [ ] Ownership and transfer records, including gifts, trusts, partnerships, conversions, and reorganizations. Status / record location / question: ______________________________ [ ] Basis records, prior sales and exclusions from the same issuer, and proposed sale documents. Status / record location / question: ______________________________ RECORDS TO REQUEST FROM THE COMPANY [ ] Formation and tax-status history, including any conversion to a domestic C corporation. Status / record location / question: ______________________________ [ ] Original issuance approvals and financing closing records identifying the shares and consideration received. Status / record location / question: ______________________________ [ ] Support for the statutory gross-assets test before and immediately after issuance, including predecessors, controlled corporations, and contributed property. A funding valuation alone is not this test. Status / record location / question: ______________________________ [ ] Business activity and asset-use records throughout the holding period, including material changes in operations. Status / record location / question: ______________________________ [ ] Stock repurchase and redemption history around issuance, including transactions with the holder or related people. Status / record location / question: ______________________________ QUESTIONS FOR YOUR TAX ADVISER [ ] Which taxpayer and share lots are being reviewed, and do any transfer or pass-through rules apply? Status / record location / question: ______________________________ [ ] Which acquisition and issuance dates control the holding period, exclusion percentage, asset threshold, and gain limit? Status / record location / question: ______________________________ [ ] What records are missing, and which company facts need legal, accounting, or valuation support? Status / record location / question: ______________________________ [ ] How do prior exclusions, the basis alternative, state law, residency, and the proposed transaction affect the analysis? Status / record location / question: ______________________________ OPTIONAL REQUEST TO ADAPT AND SEND YOURSELF I am organizing records for a potential Section 1202 review of my shares. Could you identify the appropriate company contact and available records covering issuance, C corporation history, the statutory gross-assets test, business activity, and redemptions around issuance? Please identify any gaps or limitations. My adviser will evaluate eligibility; I am not asking you to guarantee the tax treatment. SOURCES 26 USC 1202: https://www.law.cornell.edu/uscode/text/26/1202 IRS Schedule D instructions: https://www.irs.gov/instructions/i1040sd Redemption rules: https://www.law.cornell.edu/cfr/text/26/1.1202-2 Next: review requirements in the linked guide; compare modeled state taxes at https://qsbsfacts.org/calculator/. The calculator assumes eligibility and is not a full tax calculation.