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Filing Details

Accession Number:: 0001562180-23-001394
Form Type:: 4/A
Zero Holdings:: No
Publication Time:: 2023-02-14 19:27:15
Reporting Period:: 2023-02-07

Accepted Time:: 2023-02-14 19:27:15
Original Submission Date:: 2023-02-09
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
1842543	Chris Beckstead	333 West River Park Drive Provo UT 84604	President	No	No	No	No

Reported Non-Derivative Transactions

Show Other Fields >>

Sec. Name	Acquisiton - Disposition	Date	Amount	Price	Remaning Holdings	Equity Swap Involved	Form Type	Code	Nature of Ownership
Class A Common Stock	Disposition	2023-02-07	107,495	$16.44	5,471,210	No	4	S	Direct
Class A Common Stock	Disposition	2023-02-07	55,145	$16.44	5,416,065	No	4	S	Direct
Class A Common Stock	Disposition	2023-02-08	54,918	$16.52	5,361,147	No	4	S	Direct
Class A Common Stock	Disposition	2023-02-08	28,173	$16.52	5,332,974	No	4	S	Direct

Equity Swap Involved	Form Type	Code	Nature of Ownership
No	4	S	Direct
No	4	S	Direct
No	4	S	Direct
No	4	S	Direct

Footnotes

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.
On February 9, 2023, the Reporting Person filed a Form 4 erroneously reporting a sale of 107,536, instead of 107,495, shares of Class A common stock.
The price reported in column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $15.90 to $16.56, 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.
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.
On February 9, 2023, the Reporting Person filed a Form 4 erroneously reporting a sale of 55,165, instead of 55,145, shares of Class A common stock.
On February 9, 2023, the Reporting Person filed a Form 4 erroneously reporting a sale of 54,938, instead of 54,918, shares of Class A common stock.
The price reported in column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $16.24 to $16.7650, 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.
On February 8, 2023, the Reporting Person filed a Form 4 erroneously reporting a sale of 28,183, instead of 28,173, shares of Class A common stock.
The Form 4 filed on February 9, 2023 is amended to correct the number of shares beneficially owned following the transaction.