Filing Details

Accession Number:
0001562180-23-001388
Form Type:
4/A
Zero Holdings:
No
Publication Time:
2023-02-14 19:25:01
Reporting Period:
2023-02-07
Accepted Time:
2023-02-14 19:25:01
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
1892442 R. Brad Anderson 333 West River Park Drive
Provo UT 84604
President, Products & Services 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 2023-02-07 6,811 $16.44 490,117 No 4 S Direct
Class A Common Stock Disposition 2023-02-07 3,605 $16.44 486,512 No 4 S Direct
Class A Common Stock Disposition 2023-02-08 3,479 $16.52 483,033 No 4 S Direct
Class A Common Stock Disposition 2023-02-08 1,842 $16.52 481,191 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
No 4 S Direct
Footnotes
  1. 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.
  2. On February 9, 2023, the Reporting Person filed a Form 4 erroneously reporting a sale of 6,813, instead of 6,811, shares of Class A common stock.
  3. 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.
  4. 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.
  5. On February 9, 2023, the Reporting Person filed a Form 4 erroneously reporting a sale of 3,456, instead of 3,605, shares of Class A common stock.
  6. On February 9, 2023, the Reporting Person filed a Form 4 erroneously reporting a sale of 3,481, instead of 3,479, shares of Class A common stock.
  7. 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.
  8. On February, 2023, the Reporting Person filed a Form 4 erroneously reporting a sale of 1,766, instead of 1,842, shares of Class A common stock.
  9. The Form 4 filed on February 9, 2023 is amended to correct the number of shares beneficially owned following the transaction.