Ryan S. Smith - 01 Aug 2021 Form 4/A - Amendment Insider Report for Qualtrics International Inc.

Role
Founder and Executive Chair, Director
Signature
/s/ Blake Tierney, Attorney-in-Fact
Issuer symbol
N/A
Transactions as of
01 Aug 2021
Net transactions value
-$2,988,722
Form type
4/A - Amendment
Filing time
03 Nov 2021, 19:39:03 UTC
Date Of Original Report
04 Aug 2021
Previous filing
07 May 2021
Next filing
04 Aug 2021
SEC
View on sec.gov

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction XM Class A Common Stock Award $12,750 +500 +0% $25.50 13,607,907 01 Aug 2021 Direct F1
transaction XM Class A Common Stock Tax liability $3,631 -87 -0% $41.73 13,607,820 01 Aug 2021 Direct F2
transaction XM Class A Common Stock Tax liability $2,997,841 -71,839 -0.53% $41.73 13,535,981 02 Aug 2021 Direct F3
holding XM Class A Common Stock 6,000,000 01 Aug 2021 By Q II, LLC
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Represents shares acquired under the 2021 Qualtrics International Inc. Employee Stock Purchase Plan.
F2 Represents shares of Class A common stock withheld by the Issuer in satisfaction of tax withholding obligations in connection with the purchase of shares under the 2021 Qualtrics International Inc. Employee Stock Purchase Plan. Such withholding is mandated by an election of the Issuer made in advance and does not represent a discretionary trade by the Reporting Person.
F3 Represents shares of Class A common stock withheld by the Issuer in satisfaction of tax withholding obligations in connection with the vesting of restricted stock units previously granted to the Reporting Person. Such withholding is mandated by an election of the Issuer made in advance and does not represent a discretionary trade by the Reporting Person.