This is an example of a Form 3800, Page 1 with fields.Field 23Q1 is shown on Form 3800, Box A checkbox.Field 23001 is shown on Form 3800, Part I, Line 1. Field 23002 is shown on Form 3800, Part I, Line 2. Field 23003 is shown on Form 3800, Part I, Line 3. Field 23004 is shown on Form 3800, Part I, Line 4. Field 23005 is shown on Form 3800, Part I, Line 5. Field 2310B is shown on Form 3800, Part II, Line 10b. Field 2316B is shown on Form 3800, Part II, Line 16.