Bill McMurray - Feb 1, 2021 Form 4/A - Amendment Insider Report for Qualtrics International Inc. (XM)

Role: Chief Revenue Officer
Signature: /s/ Blake Tierney, Attorney-in-Fact
Stock symbol: XM
Transactions as of: Feb 1, 2021
Transactions value $: $0
Form type: 4/A - Amendment
Date filed: 2/3/2023, 06:37 PM
Date Of Original Report: Feb 2, 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		+79K			79K	Feb 1, 2021	Direct	F1
transaction	XM	Class A Common Stock	Award		+48.1K	+60.86%		127K	Feb 1, 2021	Direct	F2
transaction	XM	Class A Common Stock	Award		+333K	+262.37%		460K	Feb 1, 2021	Direct	F3
transaction	XM	Class A Common Stock	Award		+66.7K	+14.48%		527K	Feb 1, 2021	Direct	F4, F5

* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id	Content
F1	On February 2, 2021, the Reporting Person filed a Form 4 erroneously reporting an acquisition of 78,981, instead of 78,980, restricted stock units ("RSUs") with respect to Class A common stock granted to the Reporting Person in exchange for cash-settled restricted stock units with respect to SAP SE stock tendered in the exchange offer in connection with the initial public offering of the Registrant's Class A common stock (the "Exchange Offer"). These RSUs continue to vest in equal annual installments, in accordance with the vesting terms of the original awards that were tendered in the Exchange Offer. The overstatement was carried forward on the Reporting Person's subsequently filed Forms 4.
F2	Represents RSUs with respect to Class A common stock granted to the Reporting Person in exchange for cash-settled restricted stock units with respect to SAP SE stock tendered in the Exchange Offer. These RSUs continue to vest in equal annual installments, in accordance with the vesting terms of the original awards that were tendered in the Exchange Offer.
F3	Represents RSUs granted under the 2021 Qualtrics International Inc. Employee Omnibus Equity Plan (the "2021 Plan"). These RSUs vest 25% on the first anniversary of the grant date and ratably thereafter in 12 equal quarterly installments.
F4	Represents RSUs granted under the 2021 Plan. These RSUs vest in 16 equal quarterly installments.
F5	The Form 4 filed on February 2, 2021 is amended to correct the number of shares beneficially owned following the transaction.