Key facts
- This page summarizes SLTA VI (GP), L.L.C.'s Form 4 filing for Qualtrics International Inc..
- 3 reported transactions and 0 derivative rows are listed below.
- Accepted by SEC: 28 Jun 2023, 16:34.
SLTA VI (GP), L.L.C. - 28 Jun 2023 Form 4 Insider Report for Qualtrics International Inc.
- Reporting relationship
- Director, 10%+ Owner
- Issuer ticker
- N/A
- Reported as of
- 28 Jun 2023
- Net transaction value
- $0
- SEC form
- 4
- Accepted by SEC
- 28 Jun 2023, 16:34:47 UTC
- Prior SEC filing
- 10 Nov 2022
- Next SEC filing
- 20 Mar 2024
- Source filing
- View source filing
- Reporting owner signature
- By: /s/ Andrew J. Schader, Managing Director and GC of Silver Lake Group, L.L.C., managing member of SLTA VI (GP), L.L.C.
Source evidence
Original filing metadata and source links for verification.
5 source fields
Reporting owner
1 detail
Key filing fact
SLTA VI (GP), L.L.C. filed Form 4 for Qualtrics International Inc. on 28 Jun 2023.
Change
- Previous filing in this sequence was filed on 10 Nov 2022.
- Current net transaction value: $0.
Research use
- This tells you what this filing adds before you inspect full transaction and derivative tables.
- You can trace every row back to the original SEC filing document.
Evidence
Filed on Form 4
View source filing
Ownership activity is grounded in SEC Form 4 disclosures.
Reported non-derivative transactions
Shares, units, or other non-derivative securities reported in this filing.
XM
transaction
Class A Common Stock
Disposed to Issuer
- Transaction value
- Shares
- -2,286,624
- Change %
- -100%
- Price
- Shares after
- 0
- Date
- 28 Jun 2023
- Ownership
- Held through Silver Lake Partners VI DE (AIV), L.P.
- Footnotes
- F1, F2
XM
transaction
Class A Common Stock
Disposed to Issuer
- Transaction value
- Shares
- -182,731
- Change %
- -100%
- Price
- Shares after
- 0
- Date
- 28 Jun 2023
- Ownership
- Held through Silver Lake Technology Investors VI, L.P.
- Footnotes
- F1, F2
XM
transaction
Class A Common Stock
Disposed to Issuer
- Transaction value
- Shares
- -22,518,484
- Change %
- -100%
- Price
- Shares after
- 0
- Date
- 28 Jun 2023
- Ownership
- Held through SLP Quartz Aggregator, L.P.
- Footnotes
- F1, F2
* marks a reported price that did not pass the local price check.
Additional SEC filing notes
Filing notes and footnotes
Section 16 status
SLTA VI (GP), L.L.C. is no longer subject to Section 16 filing requirements. Form 4 or Form 5 obligations may still apply in specific circumstances.
Explanation of responses 2 footnotes
Footnote F1
Pursuant the Agreement and Plan of Merger, dated as of March 12, 2023, by and among the Issuer, Quartz Holdco, LLC ("Parent"), and Quartz MergerCo, Inc. ("Merger Sub"), on June 28, 2023, Merger Sub merged with and into the Issuer with the Issuer surviving such merger as a wholly owned subsidiary of Parent (the "Merger"). Immediately prior to the effective time of the Merger, each share of the Issuer's Common Stock beneficially owned by the reporting persons was contributed to Parent in exchange for class A units of Parent. Each such share of the Issuer's Common Stock was then cancelled and ceased to exist.
Footnote F2
Silver Lake Technology Associates VI, L.P. ("SLTA VI") is the general partner of each of Silver Lake Partners VI DE (AIV), L.P. ("SLP VI") and Silver Lake Technology Investors VI, L.P. ("SLTI VI"), and the managing member of SLP VI Aggregator GP, L.L.C. ("SLP VI GP"). SLP VI GP is the general partner of SLP Quartz Aggregator, L.P. ("SLP Quartz"). SLTA VI (GP), L.L.C. ("SLTA VI GP") is the general partner of SLTA VI. Silver Lake Group, L.L.C. ("SLG") is the managing member of SLTA VI GP. Prior to the consummation of the Merger, Mr. Egon Durban served as a member of the board of directors of the Issuer and is Co-CEO and Managing Member of SLG. Each of SLP VI, SLTI VI, SLP Quartz, SLP VI GP, SLTA VI, SLTA VI GP and SLG may be deemed to be a director by deputization of the Issuer.