Home/Filings/4/A/0001562180-23-000990
4/A//SEC Filing

McMurray Bill 4/A

Accession 0001562180-23-000990

CIK 0001747748other

Filed

Feb 2, 7:00 PM ET

Accepted

Feb 3, 7:37 PM ET

Size

11.1 KB

Accession

0001562180-23-000990

Insider Transaction Report

Form 4/AAmended
Period: 2021-02-01
McMurray Bill
Chief Revenue Officer
Transactions
  • Award

    Class A Common Stock

    2021-02-01+78,98078,980 total
  • Award

    Class A Common Stock

    2021-02-01+66,667527,047 total
  • Award

    Class A Common Stock

    2021-02-01+48,067127,047 total
  • Award

    Class A Common Stock

    2021-02-01+333,333460,380 total
Footnotes (5)
  • [F1]On February 2, 2021, the Reporting Person filed a Form 4 erroneously reporting an acquisition of 78,981, instead of 78,980, restricted stock units ("RSUs") with respect to Class A common stock granted to the Reporting Person in exchange for cash-settled restricted stock units with respect to SAP SE stock tendered in the exchange offer in connection with the initial public offering of the Registrant's Class A common stock (the "Exchange Offer"). These RSUs continue to vest in equal annual installments, in accordance with the vesting terms of the original awards that were tendered in the Exchange Offer. The overstatement was carried forward on the Reporting Person's subsequently filed Forms 4.
  • [F2]Represents RSUs with respect to Class A common stock granted to the Reporting Person in exchange for cash-settled restricted stock units with respect to SAP SE stock tendered in the Exchange Offer. These RSUs continue to vest in equal annual installments, in accordance with the vesting terms of the original awards that were tendered in the Exchange Offer.
  • [F3]Represents RSUs granted under the 2021 Qualtrics International Inc. Employee Omnibus Equity Plan (the "2021 Plan"). These RSUs vest 25% on the first anniversary of the grant date and ratably thereafter in 12 equal quarterly installments.
  • [F4]Represents RSUs granted under the 2021 Plan. These RSUs vest in 16 equal quarterly installments.
  • [F5]The Form 4 filed on February 2, 2021 is amended to correct the number of shares beneficially owned following the transaction.

Issuer

Qualtrics International Inc.

CIK 0001747748

Entity typeother

Related Parties

1
  • filerCIK 0001842121

Filing Metadata

Form type
4/A
Filed
Feb 2, 7:00 PM ET
Accepted
Feb 3, 7:37 PM ET
Size
11.1 KB