Omar Johnson - 28 Jun 2023 Form 4 Insider Report for Qualtrics International Inc.

Source evidence Original filing metadata and source links for verification. 4 source fields
SEC form
4
Accepted by SEC
28 Jun 2023, 21:10:34 UTC
Prior SEC filing
28 Feb 2023
Source filing
View source filing
Reporting owner 1 detail
Reporting owner signature
/s/ Blake Tierney, Attorney-in-Fact

Key filing fact

Omar Johnson filed Form 4 for Qualtrics International Inc. on 28 Jun 2023.

Key facts

  • This page summarizes Omar Johnson's Form 4 filing for Qualtrics International Inc..
  • 1 reported transaction and 0 derivative rows are listed below.
  • Accepted by SEC: 28 Jun 2023, 21:10.

Change

  • Previous filing in this sequence was filed on 28 Feb 2023.
  • 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

Ownership activity is grounded in SEC Form 4 disclosures.

View source filing

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
-27,843
Change %
-100%
Price
Shares after
0
Date
28 Jun 2023
Ownership
Direct
Footnotes
F1, F2, F3
* marks a reported price that did not pass the local price check.

Additional SEC filing notes

Filing notes and footnotes

Section 16 status

Omar Johnson is no longer subject to Section 16 filing requirements. Form 4 or Form 5 obligations may still apply in specific circumstances.

Explanation of responses 3 footnotes

Footnote F1

Pursuant to the Agreement and Plan of Merger, dated March 12, 2023 (the "Merger Agreement"), by and among Qualtrics International Inc., a Delaware corporation ("Issuer"), Quartz Holdco, LLC, a Delaware limited liability company ("Parent") and Quartz MergerCo, Inc., a Delaware corporation and a wholly owned subsidiary of Parent ("Merger Sub"), on June 28, 2023, Merger Sub merged with and into Issuer, with Issuer surviving the merger as a wholly owned subsidiary of Parent (the "Merger").

Footnote F2

At the effective time of the Merger (the "Effective Time"), each then outstanding share of Issuer Class A common stock, par value $0.0001 per share ("Class A Common Stock") and Issuer Class B common stock, par value $0.0001 per share ("Class B Common Stock" and together with Class A Common Stock, "Common Stock"), other than the Excluded Shares (as defined in the Merger Agreement) was cancelled, ceased to exist and automatically converted into the right to receive $18.15 in cash, without interest and after giving effect to any applicable withholding taxes.

Footnote F3

These shares include restricted stock units of Issuer (each, an "RSU"). Each RSU that, as of immediately prior to the Effective Time, was vested in accordance with its terms after giving effect to any vesting that occurred as a result of the transactions in connection with the Merger but had not yet been settled (each, a "Vested RSU"), was cancelled as of the Effective Time and converted into the right to receive an amount in cash, without interest, equal to the product of $18.15 and the aggregate number of shares of Common Stock subject to such Vested RSU, less applicable taxes and authorized deductions. All RSUs held by non-employee members of the board of directors of Issuer, including the Reporting Person, were accelerated and vested effective as of immediately prior to the Effective Time and were treated as Vested RSUs.

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