4//SEC Filing
Thimsen John 4
Accession 0001562180-21-006342
CIK 0001747748other
Filed
Oct 4, 8:00 PM ET
Accepted
Oct 5, 8:42 PM ET
Size
7.5 KB
Accession
0001562180-21-006342
Insider Transaction Report
Form 4
Thimsen John
Chief Technology Officer
Transactions
- Tax Payment
Class A Common Stock
2021-10-01$43.88/sh−14,181$622,262→ 1,142,305 total - Sale
Class A Common Stock
2021-10-01$43.89/sh−1,814$79,609→ 1,156,486 total
Footnotes (4)
- [F1]This transaction was effected pursuant to a Rule 10b5-1 trading plan previously adopted by the Reporting Person.
- [F2]The price reported in column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $43.13 to $44.36. 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.
- [F3]Represents shares of Class A common stock withheld by the Issuer in satisfaction of tax withholding obligations in connection with the vesting of restricted stock units previously granted to the Reporting Person. Such withholding is mandated by an election of the Issuer made in advance and does not represent a discretionary trade by the Reporting Person.
- [F4]This total amount has been updated to reflect transactions that were inadvertently recorded erroneously or omitted and have been subsequently corrected on Form 4/A or filed on a Form 4.
Documents
Issuer
Qualtrics International Inc.
CIK 0001747748
Entity typeother
Related Parties
1- filerCIK 0001842163
Filing Metadata
- Form type
- 4
- Filed
- Oct 4, 8:00 PM ET
- Accepted
- Oct 5, 8:42 PM ET
- Size
- 7.5 KB