Brad R. Anderson - Jan 31, 2022 Form 4 Insider Report for Qualtrics International Inc. (XM)

Role
President, Products & Services
Signature
/s/ Blake Tierney, Attorney-in-Fact
Stock symbol
XM
Transactions as of
Jan 31, 2022
Transactions value $
$11,708
Form type
4
Date filed
2/2/2022, 08:58 PM
Previous filing
Nov 15, 2021
Next filing
Feb 11, 2022
SEC
View on sec.gov

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction XM Class A Common Stock Award $12.4K +500 +0.15% $24.88 334K Jan 31, 2022 Direct F1
transaction XM Class A Common Stock Tax liability -$498 -17 -0.01% $29.27 334K Jan 31, 2022 Direct F2
transaction XM Class A Common Stock Tax liability -$234 -8 0% $29.27 334K Jan 31, 2022 Direct F3
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Represents shares acquired under the 2021 Qualtrics International Inc. Employee Stock Purchase Plan.
F2 Represents shares of Class A common stock withheld by the Issuer in satisfaction of tax withholding obligations in connection with the purchase of shares under the 2021 Qualtrics International Inc. Employee Stock Purchase Plan. 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 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.

Remarks:

Exhibit 24 - Power of Attorney