4/A//SEC Filing
Serafin Zig 4/A
Accession 0001562180-23-001392
CIK 0001747748other
Filed
Feb 13, 7:00 PM ET
Accepted
Feb 14, 7:26 PM ET
Size
12.0 KB
Accession
0001562180-23-001392
Insider Transaction Report
Form 4/AAmended
Serafin Zig
DirectorChief Executive Officer
Transactions
- Sale
Class A Common Stock
2023-02-07$16.44/sh−217,751$3,579,892→ 12,036,956 total - Sale
Class A Common Stock
2023-02-07$16.44/sh−110,290$1,813,201→ 11,926,666 total - Sale
Class A Common Stock
2023-02-08$16.52/sh−111,247$1,838,045→ 11,815,419 total - Sale
Class A Common Stock
2023-02-08$16.52/sh−56,346$930,960→ 11,759,073 total
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 217,833 instead of 217,751, 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 110,330, instead of 110,290, shares of Class A common stock.
- [F6]On February 9, 2023, the Reporting Person filed a Form 4 erroneously reporting a sale of 111,288, instead of 111,247, 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 56,367, instead of 56,346, 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 0001758334
Filing Metadata
- Form type
- 4/A
- Filed
- Feb 13, 7:00 PM ET
- Accepted
- Feb 14, 7:26 PM ET
- Size
- 12.0 KB