Brian Stucki - 01 Feb 2023 Form 4 Insider Report for Qualtrics International Inc.

Role: President and Chief Operating Officer
Signature: /s/ Blake Tierney, Attorney-in-Fact
Issuer symbol: N/A
Transactions as of: 01 Feb 2023
Net transactions value: $0
Form type: 4
Filing time: 03 Feb 2023, 19:03:06 UTC
Previous filing: 02 Feb 2023
Next filing: 13 Feb 2023
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		+43,024	+10%		472,291	01 Feb 2023	Direct	F1

* 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, 2023. 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.

Content

Represents the number of performance stock units ("PSUs") granted under the 2021 Qualtrics International Inc. Employee Omnibus Equity Plan which vested on February 1, 2023. 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.

Remarks:

President and Chief Operating Officer