Brad R. Anderson - Nov 8, 2021 Form 3 Insider Report for Qualtrics International Inc. (XM)

Role
President, Products & Services
Signature
/s/ Blake Tierney, Attorney-in-Fact
Stock symbol
XM
Transactions as of
Nov 8, 2021
Transactions value $
$0
Form type
3
Date filed
11/15/2021, 03:07 PM
Next filing
Feb 2, 2022

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
holding XM Class A Common Stock 333K Nov 8, 2021 Direct F1
holding XM Class A Common Stock 75 Nov 8, 2021 Direct F2
holding XM Class A Common Stock 452 Nov 8, 2021 Direct
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Represents restricted stock units ("RSUs") granted under the 2021 Qualtrics International Inc. Employee Omnibus Equity Plan (the "2021 Plan"). These RSUs vest 25% on the first anniversary of the grant date and ratably thereafter in 12 equal quarterly installments, subject to the Reporting Person's continued service to the Issuer as of each vesting date.
F2 Represents RSUs granted under the 2021 Plan. One third of these RSUs vest on each of February 1, 2022, August 1, 2022, and February 1, 2023, subject to the Reporting Person's continued service to the Issuer as of each vesting date.

Remarks:

Exhibit 24 - Power of Attorney