Filing Details

Accession Number:
0001562180-23-001350
Form Type:
4/A
Zero Holdings:
No
Publication Time:
2023-02-13 19:47:42
Reporting Period:
2023-02-03
Accepted Time:
2023-02-13 19:47:42
Original Submission Date:
2023-02-07
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1747748 Qualtrics International Inc. XM Services-Prepackaged Software (7372) 471754215
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1758334 Zig Serafin 333 West River Park Drive
Provo UT 84604
Chief Executive Officer No No 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 2023-02-03 35,312 $16.56 12,461,637 No 4 S Direct
Class A Common Stock Disposition 2023-02-03 69,719 $16.56 12,391,918 No 4 S Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 S Direct
No 4 S Direct
Footnotes
  1. On February 7, 2023, the Reporting Person filed a Form 4 erroneously reporting a sale of 35,325, instead of 35,312, shares of Class A common stock.
  2. Represents shares required to be sold by the Reporting Person to cover tax withholding obligations in connection with the vesting of restricted stock units. These sales were automatic and intended to qualify under Rule 10b5-1.
  3. The price reported in column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $16.47 to $16.75, inclusive. 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.
  4. On February 7, 2023, the Reporting Person filed a Form 4 erroneously reporting a sale of 69,745, instead of 69,719, shares of Class A common stock.
  5. Represents shares required to be sold by the Reporting Person to cover tax withholding obligations in connection with the vesting of performance stock units. These sales were automatic and intended to qualify under Rule 10b5-1.
  6. The Form 4 filed on February 7, 2023 is amended to correct the number of shares beneficially owned following the transaction.