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Bachman Robert W's Form 4/A amendment

Amended

Qualtrics International Inc. (XM) · filed Feb 13, 2023

Accession no.
0001562180-23-001347
Filed
Feb 13, 2023
Trade date
Feb 3, 2023
Filing delay
10 days
Rule 10b5-1 plan
Not on the form (before 2023)
Original filed
Feb 7, 2023

This filing lists 2 non-derivative transactions. Open-market sales total $64.2K. It was filed 10 days after the trade.

This amendment replaces 0001562180-23-001095 (filed Feb 7, 2023).

Reporting owners

A Form 4 can have several reporting owners, such as a person and a fund they control. Trade tables show the first one.

Reporting owners on this filing
OwnerRelationship to the company
Bachman Robert WCIK 0001842759Officer (Chief Financial Officer)

Non-derivative securities (Table I)

Acquisitions and disposals of common stock and similar shares, one row per line on the filing.

Non-derivative transactions
Trade dateSecurityTransactionSharesPriceValueShares afterOwnershipFlags
Feb 3, 2023Class A Common StockSSaleDisposed−1,561$16.56F3−$25,850.16598,740Direct
Feb 3, 2023Class A Common StockSSaleDisposed−2,313$16.56F3−$38,303.28596,427Direct

Footnotes and remarks

Livermore keeps the footnotes that transaction prices refer to, all footnotes of amendments (Form 4/A) and the filing's remarks. Other footnotes, such as how indirect holdings are held or the details of a trading plan, are only in the original on SEC EDGAR.

F1

On February 7, 2023, the Reporting Person filed a Form 4 erroneously reporting a sale of 1,505, instead of 1,561, 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.

Referenced by the price of 2 transactions in Table I.

F4

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.

F5

The Form 4 filed on February 7, 2023 is amended to correct the number of shares beneficially owned following the transaction.

Read the full filing on SEC EDGAR (opens in a new tab)