Filing Details

Accession Number:
0001628280-21-009558
Form Type:
4
Zero Holdings:
No
Publication Time:
2021-05-07 13:00:00
Reporting Period:
2021-05-05
Accepted Time:
2021-05-07 19:18:58
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1747748 Qualtrics International Inc. XM Services-Prepackaged Software (7372) 000000000
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1842543 Chris Beckstead 333 West River Park Drive
Provo UT 84604
President No Yes No No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Class A Common Stock Disposition 2021-05-05 1,491 $36.19 6,158,274 No 4 S Direct
Class A Common Stock Disposition 2021-05-05 92 $37.18 6,158,182 No 4 S Direct
Class A Common Stock Disposition 2021-05-05 15,650 $35.40 6,142,532 No 4 S Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 S Direct
No 4 S Direct
No 4 S Direct
Footnotes
  1. Shares sold by the Reporting Person to cover tax withholding obligations in connection with the vesting of Restricted Stock Units (RSUs).
  2. The price reported in column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $35.90 to $36.79. 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.
  3. Reflects the correction of an immaterial error in the balance reported in the Reporting Person's Form 4 filed on February 2, 2021 with respect to RSUs granted in the exchange offer.
  4. The price reported in column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $34.90 to $35.89. 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.