4/A//SEC Filing
Smith Ryan S 4/A
Accession 0001562180-23-001391
CIK 0001747748other
Filed
Feb 13, 7:00 PM ET
Accepted
Feb 14, 7:25 PM ET
Size
12.8 KB
Accession
0001562180-23-001391
Insider Transaction Report
Form 4/AAmended
Smith Ryan S
DirectorFounder and Executive Chair
Transactions
- Sale
Class A Common Stock
2023-02-07$16.44/sh−217,763$3,580,089→ 12,717,556 total - Sale
Class A Common Stock
2023-02-07$16.44/sh−134,136$2,205,236→ 12,583,420 total - Sale
Class A Common Stock
2023-02-08$16.52/sh−111,252$1,838,128→ 12,472,168 total - Sale
Class A Common Stock
2023-02-08$16.52/sh−68,529$1,132,250→ 12,403,639 total
Holdings
- 6,000,000(indirect: By LLC)
Class A Common Stock
Footnotes (9)
- [F1]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.
- [F2]On February 9, 2023, the Reporting Person filed a Form 4 erroneously reporting a sale of 217,844, instead of 217,763, shares of Class A common stock.
- [F3]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.
- [F4]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.
- [F5]On February 9, 2023, the Reporting Person filed a Form 4 erroneously reporting a sale of 134,186, instead of 134,136, shares of Class A common stock.
- [F6]On February 9, 2023, the Reporting Person filed a Form 4 erroneously reporting a sale of 111,294, instead of 111,252, shares of Class A common stock.
- [F7]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.
- [F8]On February 9, 2023, the Reporting Person filed a Form 4 erroneously reporting a sale of 68,554, instead of 68,529, shares of Class A common stock.
- [F9]The Form 4 filed on February 9, 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 0001842748
Filing Metadata
- Form type
- 4/A
- Filed
- Feb 13, 7:00 PM ET
- Accepted
- Feb 14, 7:25 PM ET
- Size
- 12.8 KB