BA-15 Report of Stock Options and Other Payments

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Overview

01 Form
02 Instructions
03 Data Layout

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Sheet 1: 01 Form

UNITED STATES OF AMERICA											CURRENT														Form Approved
RAILROAD RETIREMENT BOARD																									OMB No. 3220-0203
Medicare Wages and Tips, RRTA Gross Compensation, Stock Options and Other Payments
1.	2.	3.	4.	5.	6.	7.	8.	9.	10.	11.	12.	13.	14.	15.	16.	17.	18.	19.	20.	21.	22.	23.	24.	25.	26.	27.
I = Initial; R = Replacement	Year being reported (CCYY).	BA Number	Employee's SSN	Last Name (20)	First Name (15)	MI	Filler, leave blank	Medicare wages and tips Q1 - 10 positions ($$$$$$$$¢¢)	Medicare wages and tips Q2 - 10 positions ($$$$$$$$¢¢)	Medicare wages and tips Q3 - 10 positions ($$$$$$$$¢¢)	Medicare wages and tips Q4 - 10 positions ($$$$$$$$¢¢)	Filler, leave blank	RRTA Gross Compensation Q1 - 10 positions ($$$$$$$$¢¢)	RRTA Gross Compensation Q2 - 10 positions ($$$$$$$$¢¢)	RRTA Gross Compensation Q3 - 10 positions ($$$$$$$$¢¢)	RRTA Gross Compensation Q4 - 10 positions ($$$$$$$$¢¢)	Filler, leave blank	NQSOs Q1 - 10 positions ($$$$$$$$¢¢)	NQSOs Q2 - 10 positions ($$$$$$$$¢¢)	NQSOs Q3 - 10 positions ($$$$$$$$¢¢)	NQSOs Q4 - 10 positions ($$$$$$$$¢¢)	Filler, leave blank	Ratification Payments Q1 - 10 positions ($$$$$$$$¢¢)	Ratification Payments Q2 -10 positions ($$$$$$$$¢¢)	Ratification Payments Q3 -10 positions ($$$$$$$$¢¢)	Ratification Payments Q4 -10 positions ($$$$$$$$¢¢)
Form BA-15 (12-21)

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Sheet 2: 02 Instructions

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Sheet 3: 03 Data Layout

Electronic File Format for Form BA-15
Report of Stock Options and Other Payments
Column	Field Length	Record Position	Data and Instructions
1	1	1	I = Initial; R = Replacement
2	4	2-5	Year being reported (CCYY).
3	4	6-9	Four-digit employer BA number assigned by the Railroad Retirement Board.
4	9	10-18	Employee's social security account number.
5	20	19-38	First twenty (20) characters of the employee's surname. Spaces in such names as O Grady or De La Cross are acceptable.
6	15	39-53	First fifteen (15) characters of the employee's first name.
7	1	54	Employee’s middle initial.
8	1	55	Filler, leave blank
9	10	56-65	Medicare Wages and Tips First Quarter Amount - 10 positions ($$$$$$$$¢¢), preceded by zero(s) if necessary.
10	10	66-75	Medicare Wages and Tips Second Quarter Amount -10 positions ($$$$$$$$¢¢), preceded by zero(s) if necessary.
11	10	76-85	Medicare Wages and Tips Third Quarter Amount - 10 positions ($$$$$$$$¢¢), preceded by zero(s) if necessary.
12	10	86-95	Medicare Wages and Tips Fourth Quarter Amount - 10 positions ($$$$$$$$¢¢), preceded by zero(s) if necessary.
13	1	96	Filler, leave blank
14	10	97-106	RRTA Gross Compensation First Quarter Amount - 10 positions ($$$$$$$$¢¢), preceded by zero(s) if necessary.
15	10	107-116	RRTA Gross Compensation Second Quarter Amount - 10 positions ($$$$$$$$¢¢), preceded by zero(s) if necessary.
16	10	117-126	RRTA Gross Compensation Third Quarter Amount - 10 positions ($$$$$$$$¢¢), preceded by zero(s) if necessary.
17	10	127-136	RRTA Gross Compensation Fourth Quarter Amount - 10 positions ($$$$$$$$¢¢), preceded by zero(s) if necessary.
18	1	137	Filler, leave blank
19	10	138-147	Non-Qualified Stock Options First Quarter Amount - 10 positions ($$$$$$$$¢¢), preceded by zero(s) if necessary.
20	10	148-157	Non-Qualified Stock Options Second Quarter Amount - 10 positions ($$$$$$$$¢¢), preceded by zero(s) if necessary.
21	10	158-167	Non-Qualified Stock Options Third Quarter Amount - 10 positions ($$$$$$$$¢¢), preceded by zero(s) if necessary.
22	10	168-177	Non-Qualified Stock Options Fourth Quarter Amount - 10 positions ($$$$$$$$¢¢), preceded by zero(s) if necessary.
23	1	178	Filler, leave blank
24	10	179-188	Ratification Payments First Quarter Amount - 10 positions ($$$$$$$$¢¢), preceded by zero(s) if necessary.
25	10	189-198	Ratification Payments Second Quarter Amount - 10 positions ($$$$$$$$¢¢), preceded by zero(s) if necessary.
26	10	199-208	Ratification Payments Third Quarter Amount - 10 positions ($$$$$$$$¢¢), preceded by zero(s) if necessary.
27	10	209-218	Ratification Payments Fourth Quarter Amount - 10 positions ($$$$$$$$¢¢), preceded by zero(s) if necessary.
NOTE: If there are no earnings for the quarter, zero-fill.