Robert W. Bachman - 01 Feb 2022 Form 4/A - Amendment Insider Report for Qualtrics International Inc.

Role
Chief Financial Officer
Signature
/s/ Blake Tierney, Attorney-in-Fact
Issuer symbol
N/A
Transactions as of
01 Feb 2022
Net transactions value
-$1,996,762
Form type
4/A - Amendment
Filing time
11 Feb 2022, 11:50:12 UTC
Date Of Original Report
03 Feb 2022
Previous filing
02 Feb 2022
Next filing
23 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 +52,083 +10% 567,461 01 Feb 2022 Direct F1
transaction XM Class A Common Stock Tax liability $1,303,419 -43,375 -7.6% $30.05 524,086 01 Feb 2022 Direct F2
transaction XM Class A Common Stock Tax liability $693,344 -23,073 -4.4% $30.05 501,013 01 Feb 2022 Direct F3
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Represents the number of performance stock units ("PSUs") granted under the 2021 Qualtrics International Inc. Employee Omnibus Equity Plan which vested on February 1, 2022. The extent to which these PSUs vest is conditional upon the achievement of objectives set and approved by the Board. To the extent these objectives are met on an annual basis, these PSUs vest 25% on the first anniversary of the grant date and ratably thereafter in 3 equal annual installments.
F2 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.
F3 Represents shares of Class A common stock withheld by the Issuer in satisfaction of tax withholding obligations in connection with the vesting of performance 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.