An 83(b) election lets an early-stock recipient pay ordinary income tax on the value at grant rather than waiting until each tranche vests. For founder grants made when the company is worth essentially nothing, the tax bill at grant is near zero. Without the election, each vesting tranche is taxed at then-current value, potentially huge for a successful company.
The election must be filed with the IRS within 30 days of the grant. Missing the deadline cannot be undone. It applies to restricted stock and to early-exercised options, not to standard option grants until they're exercised.