4/A//SEC Filing
Serafin Zig 4/A
Accession 0001562180-23-001350
CIK 0001747748other
Filed
Feb 12, 7:00 PM ET
Accepted
Feb 13, 7:47 PM ET
Size
7.9 KB
Accession
0001562180-23-001350
Insider Transaction Report
Form 4/AAmended
Serafin Zig
DirectorChief Executive Officer
Transactions
- Sale
Class A Common Stock
2023-02-03$16.56/sh−35,312$584,873→ 12,461,637 total - Sale
Class A Common Stock
2023-02-03$16.56/sh−69,719$1,154,756→ 12,391,918 total
Footnotes (6)
- [F1]On February 7, 2023, the Reporting Person filed a Form 4 erroneously reporting a sale of 35,325, instead of 35,312, shares of Class A common stock.
- [F2]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.
- [F3]The price reported in column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $16.47 to $16.75, 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.
- [F4]On February 7, 2023, the Reporting Person filed a Form 4 erroneously reporting a sale of 69,745, instead of 69,719, shares of Class A common stock.
- [F5]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.
- [F6]The Form 4 filed on February 7, 2023 is amended to correct the number of shares beneficially owned following the transaction.
Documents
Issuer
Qualtrics International Inc.
CIK 0001747748
Entity typeother
Related Parties
1- filerCIK 0001758334
Filing Metadata
- Form type
- 4/A
- Filed
- Feb 12, 7:00 PM ET
- Accepted
- Feb 13, 7:47 PM ET
- Size
- 7.9 KB