Brad R. Anderson - 31 Jan 2022 Form 4 Insider Report for Qualtrics International Inc.

Role
President, Products & Services
Signature
/s/ Blake Tierney, Attorney-in-Fact
Issuer symbol
N/A
Transactions as of
31 Jan 2022
Net transactions value
+$11,708
Form type
4
Filing time
02 Feb 2022, 20:58:47 UTC
Previous filing
15 Nov 2021
Next filing
11 Feb 2022
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 $12,440 +500 +0.15% $24.88 334,360 31 Jan 2022 Direct F1
transaction XM Class A Common Stock Tax liability $498 -17 -0.01% $29.27 334,343 31 Jan 2022 Direct F2
transaction XM Class A Common Stock Tax liability $234 -8 -0% $29.27 334,335 31 Jan 2022 Direct F3
* 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.

Remarks:

Exhibit 24 - Power of Attorney