0001354457-23-000432.txt : 20230628 0001354457-23-000432.hdr.sgml : 20230628 20230628091318 ACCESSION NUMBER: 0001354457-23-000432 CONFORMED SUBMISSION TYPE: 25-NSE PUBLIC DOCUMENT COUNT: 2 FILED AS OF DATE: 20230628 DATE AS OF CHANGE: 20230628 EFFECTIVENESS DATE: 20230628 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: Qualtrics International Inc. CENTRAL INDEX KEY: 0001747748 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 471754215 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 25-NSE SEC ACT: 1934 Act SEC FILE NUMBER: 001-39952 FILM NUMBER: 231049621 BUSINESS ADDRESS: STREET 1: 333 WEST RIVER PARK DRIVE CITY: PROVO STATE: UT ZIP: 84604 BUSINESS PHONE: 385-203-4999 MAIL ADDRESS: STREET 1: 333 WEST RIVER PARK DRIVE CITY: PROVO STATE: UT ZIP: 84604 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: Nasdaq Stock Market LLC CENTRAL INDEX KEY: 0001354457 IRS NUMBER: 521165937 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 25-NSE BUSINESS ADDRESS: STREET 1: One Liberty Plaza CITY: New York STATE: NY ZIP: 10006 BUSINESS PHONE: 301-978-4144 MAIL ADDRESS: STREET 1: Office of General Counsel STREET 2: 805 King Farm Blvd. CITY: ROCKVILLE STATE: MD ZIP: 20850 FORMER COMPANY: FORMER CONFORMED NAME: The Nasdaq Stock Market LLC DATE OF NAME CHANGE: 20060224 25-NSE 1 primary_doc.xml X0203 0001354457 Nasdaq Stock Market LLC 0001747748 Qualtrics International Inc. 001-39952
333 West River Park Drive Provo UT UTAH 84604
3852034982
Class A Common Stock 17 CFR 240.12d2-2(a)(3) Tara Petta AVP 2023-06-28
EX-99.25 2 form25.txt Form 25