The conditions the option itself has to meet. Section 422(b) requires that the option be granted under a shareholder-approved plan within ten years of its adoption, be exercisable no more than ten years from grant, carry an exercise price not less than the stock's fair market value at grant, be non-transferable other than at death, and be granted to an employee of the company or a related company. A holder who owns more than 10% of the company's voting power faces a stricter version: the price must be at least 110% of grant-date value and the term no more than five years. Section 422(a)(2) adds an employment requirement, that the holder be an employee of the granting company throughout the period from grant until "the day 3 months before the date of such exercise." Two closing provisions are easy to miss. An option is not an incentive stock option if its own terms say it is not, which employers sometimes do deliberately. And it loses the treatment if a section 83(i) election is made with respect to the stock received, a route that did not exist before 2018 and that people are rarely warned about.
The $100,000 rule, and what it is actually a limit on. Section 422(d)(1) provides that to the extent the aggregate fair market value of stock with respect to which incentive stock options "are exercisable for the 1st time by any individual during any calendar year" exceeds $100,000, those options "shall be treated as options which are not incentive stock options." Three precisions decide whether someone reads this correctly. The value is measured at grant, under subsection (d)(3), not at exercise, so a rising share price never erodes the allowance. Options are counted in the order they were granted, under (d)(2). And the test is on what first becomes exercisable in a year, meaning what vests, not on what you choose to exercise. So an employee who lets three years of vested options accumulate and exercises them all at once has not breached anything; an employee whose vesting schedule causes more than $100,000 of grant-value to become exercisable in one year has, and the excess is simply a non-qualified option from the start. The figure is statutory and has never been indexed.
The two holding periods, and how failing them works. Section 422(a)(1) requires that no disposition of the shares occur "within 2 years from the date of the granting of the option nor within 1 year after the transfer of such share to him." Meet both and the whole gain from exercise price to sale price is long-term capital gain. Fail either and the sale is a disqualifying disposition: the spread at exercise becomes ordinary compensation income for the year of the sale, and any further appreciation is capital gain. Section 422(c)(2) supplies a mitigation that is almost never mentioned. Provided the disposition is a sale or exchange on which a loss would be recognized, which excludes a gift and a sale to a related party, the ordinary income cannot exceed the amount realized less the adjusted basis of the share. It only bites where the price fell after exercise, and there it means a collapse does not produce compensation income the employee never received. For regular income tax the cap applies in whatever year the sale happens. Its reach into the alternative minimum tax is narrower, and section 56(b)(3) is the reason: it applies the cap only where the disposition and the inclusion fall in the same taxable year, "and such section shall not apply in any other case." That single sentence is what makes the calendar matter below.
The alternative minimum tax adjustment, which is the real risk in the instrument. Exercising and holding creates no regular taxable income, but the spread is added in computing alternative minimum taxable income. So the tax can be due on a paper gain, in a year when no cash arrived and cash may have gone out to pay the exercise price. Two features soften it and one sharpens it. The shares carry a separate, higher basis for alternative minimum tax purposes, equal to the market value at exercise, so the same gain is not taxed twice when they are sold. And the tax paid generally creates a minimum tax credit recoverable against regular tax in later years, which makes it a deferral rather than a permanent cost, though the timing is uncertain and the cash has left in the meantime. What sharpens it is the calendar: the adjustment is eliminated only if the shares are disposed of in the same taxable year as the exercise. A December exercise followed by a January sale still owes the alternative minimum tax on the December spread, and that trap has a single sentence of statute behind it.
This exposure grew materially for tax years beginning after 2025, and almost all published ISO guidance predates the change. The 2025 tax law made the current alternative minimum tax structure permanent, doubled the rate at which the exemption is withdrawn as income rises, and reset the income level at which that withdrawal begins to a lower figure that then indexes forward. Inside the withdrawal band each additional dollar of alternative minimum taxable income now costs tax on itself plus tax on the exemption it destroys, taking the effective marginal rate from roughly 35% to roughly 42%. Because the width of the band is the exemption divided by the withdrawal rate, doubling the rate makes the band half as wide, and above it the marginal rate returns to the ordinary alternative minimum rate. An exercise-and-hold is precisely the transaction that drives income into that band. The arithmetic in any pre-2026 model or article is understated, which makes it worth recomputing rather than inheriting.
Two reporting points. The employer must furnish Form 3921, "Exercise of an Incentive Stock Option Under Section 422(b)," reporting each exercise, and it is the document that carries the grant date, exercise date, exercise price and market value needed for both the alternative minimum tax calculation and the eventual sale. Separately, when the shares are sold, the broker's reported basis will not include the compensation income recognized on a disqualifying disposition. That is a prohibition in the regulations rather than an oversight, so no corrected form is coming, and the adjustment is made on the seller's own return using the broker's supplemental statement.