Ryan S. Smith - Jan 31, 2022 Form 4 Insider Report for Qualtrics International Inc. (XM)

Role
Founder and Executive Chair, Director
Signature
/s/ Blake Tierney, Attorney-in-Fact
Stock symbol
XM
Transactions as of
Jan 31, 2022
Transactions value $
$11,679
Form type
4
Date filed
2/2/2022, 08:57 PM
Previous filing
Nov 3, 2021
Next filing
Feb 3, 2022

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction XM Class A Common Stock Award $12.4K +500 +0% $24.88 13.5M Jan 31, 2022 Direct F1
transaction XM Class A Common Stock Tax liability -$761 -26 0% $29.27 13.5M Jan 31, 2022 Direct F2
holding XM Class A Common Stock 6M Jan 31, 2022 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.