Robert W. Bachman - 31 Jan 2023 Form 4 Insider Report for Qualtrics International Inc.

Signature
/s/ Blake Tierney, Attorney-in-Fact
Issuer symbol
N/A
Transactions as of
31 Jan 2023
Net transactions value
-$251,574
Form type
4
Filing time
02 Feb 2023, 18:39:44 UTC
Previous filing
03 Nov 2022
Next filing
03 Feb 2023

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction XM Class A Common Stock Sale $262,190 -16,700 -3% $15.70 539,583 31 Jan 2023 Direct F1, F2
transaction XM Class A Common Stock Award $12,745 +1,199 +0.22% $10.63 540,782 31 Jan 2023 Direct F3
transaction XM Class A Common Stock Tax liability $2,129 -135 -0.02% $15.77 540,647 31 Jan 2023 Direct F4
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 The sales reported in this Form 4 were effectuated pursuant to a Rule 10b5-1 trading plan adopted by the Reporting Person on June 13, 2022.
F2 The price reported in column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $15.64 to $15.74. The Reporting Person undertakes to provide to the Issuer, any security holder of the Issuer or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
F3 Represents shares acquired under the 2021 Qualtrics International Inc. Employee Stock Purchase Plan.
F4 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.