Brian Stucki - Nov 14, 2022 Form 3 Insider Report for Qualtrics International Inc. (XM)

Signature
/s/ Blake Tierney, Attorney-in-Fact
Stock symbol
XM
Transactions as of
Nov 14, 2022
Transactions value $
$0
Form type
3
Date filed
11/30/2022, 01:43 PM
Next filing
Nov 30, 2022

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
holding XM Class A Common Stock 237K Nov 14, 2022 Direct F1, F2, F3, F4, F5
holding XM Class A Common Stock 115K Nov 14, 2022 Direct
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Includes an award of restricted stock units ("RSUs") granted on June 10, 2020 under the 2021 Qualtrics International Inc. Employee Omnibus Equity Plan (the "2021 Plan"), of which 5,340 RSUs are currently unvested. Such award vests as to one-third on each of June 10, 2021, June 10, 2022, and June 10, 2023, subject to the Reporting Person's continued service to the Issuer as of each vesting date.
F2 Includes an award of RSUs granted on February 1, 2021 under the 2021 Plan, of which 156,251 RSUs are currently unvested. Such award vests as to 25% on the first anniversary of the grant date and ratably thereafter in 16 equal quarterly installments, subject to the Reporting Person's continued service to the Issuer as of each vesting date.
F3 Includes an award of RSUs granted on February 1, 2021 under the 2021 Plan, of which 18,844 RSUs are currently unvested. Such award vests in 16 equal quarterly installments, subject to the Reporting Person's continued service to the Issuer as of each vesting date.
F4 Includes an award of RSUs granted on August 4, 2021 under the 2021 Plan, of which 25 RSUs are currently unvested. Such award vests as to one-third on each of January 31, 2022, July 29, 2022, and January 31, 2023, subject to the Reporting Person's continued service to the Issuer as of each vesting date.
F5 Includes an award of RSUs granted on February 18, 2022 under the 2021 Plan, of which 56,443 RSUs are currently unvested. Such award vests in 16 equal quarterly installments, subject to the Reporting Person's continued service to the Issuer as of each vesting date.

Remarks:

President and Chief Operating Officer. Exhibit 24 - Power of Attorney.