Home/Filings/4/0001562180-22-001095
4//SEC Filing

Thimsen John 4

Accession 0001562180-22-001095

CIK 0001747748other

Filed

Feb 2, 7:00 PM ET

Accepted

Feb 3, 9:19 PM ET

Size

9.0 KB

Accession

0001562180-22-001095

Insider Transaction Report

Form 4
Period: 2022-02-01
Thimsen John
Chief Technology Officer
Transactions
  • Award

    Class A Common Stock

    2022-02-01+104,1661,233,668 total
  • Tax Payment

    Class A Common Stock

    2022-02-01$30.05/sh82,801$2,488,1701,150,867 total
  • Tax Payment

    Class A Common Stock

    2022-02-01$30.05/sh40,990$1,231,7501,109,877 total
Footnotes (3)
  • [F1]Represents the number of performance stock units ("PSUs") granted under the 2021 Qualtrics International Inc. Employee Omnibus Equity Plan which vested on February 1, 2022. The extent to which these PSUs vest is conditional upon the achievement of objectives set and approved by the Board. To the extent these objectives are met on an annual basis, these PSUs vest 25% on the first anniversary of the grant date and ratably thereafter in 3 equal annual installments.
  • [F2]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.
  • [F3]Represents shares of Class A common stock withheld by the Issuer in satisfaction of tax withholding obligations in connection with the vesting of performance 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.

Issuer

Qualtrics International Inc.

CIK 0001747748

Entity typeother

Related Parties

1
  • filerCIK 0001842163

Filing Metadata

Form type
4
Filed
Feb 2, 7:00 PM ET
Accepted
Feb 3, 9:19 PM ET
Size
9.0 KB