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Form 3 - Initial statement of beneficial ownership of securities:
SEC Accession No. 0000899243-21-005938
Filing Date
2021-02-11
Accepted
2021-02-11 16:38:19
Documents
1
Period of Report
2021-02-01

Document Format Files

Seq Description Document Type Size
1 FORM 3 SUBMISSION doc3.html 3  
1 FORM 3 SUBMISSION doc3.xml 3 9783
  Complete submission text file 0000899243-21-005938.txt   14106
Mailing Address 2775 SAND HILL ROAD, SUITE 100 MENLO PARK CA 94025
Business Address 2775 SAND HILL ROAD, SUITE 100 MENLO PARK CA 94025 6502338120
Silver Lake Group, L.L.C. (Reporting) CIK: 0001418226 (see all company filings)

State of Incorp.: DE | Fiscal Year End: 1231
Type: 3 | Act: 34 | File No.: 001-39952 | Film No.: 21620310

Mailing Address C/O SILVER LAKE 2775 SAND HILL ROAD, SUITE 100 MENLO PARK CA 94025
Business Address
Durban Egon (Reporting) CIK: 0001651403 (see all company filings)

Type: 3 | Act: 34 | File No.: 001-39952 | Film No.: 21620315

Mailing Address 333 WEST RIVER PARK DRIVE PROVO UT 84604
Business Address 333 WEST RIVER PARK DRIVE PROVO UT 84604 385-203-4999
Qualtrics International Inc. (Issuer) CIK: 0001747748 (see all company filings)

IRS No.: 000000000 | State of Incorp.: DE | Fiscal Year End: 1231
SIC: 7372 Services-Prepackaged Software

Mailing Address C/O SILVER LAKE 2776 SAND HILL ROAD, SUITE 100 MENLO PARK CA 94025
Business Address C/O SILVER LAKE 2776 SAND HILL ROAD, SUITE 100 MENLO PARK CA 94025 650-233-8120
Silver Lake Technology Associates VI, L.P. (Reporting) CIK: 0001830249 (see all company filings)

State of Incorp.: DE | Fiscal Year End: 1231
Type: 3 | Act: 34 | File No.: 001-39952 | Film No.: 21620312

Mailing Address C/O SILVER LAKE 2776 SAND HILL ROAD, SUITE 100 MENLO PARK CA 94025
Business Address C/O SILVER LAKE 2776 SAND HILL ROAD, SUITE 100 MENLO PARK CA 94025 650-233-8120
SLP VI Aggregator GP, L.L.C. (Reporting) CIK: 0001830259 (see all company filings)

State of Incorp.: DE | Fiscal Year End: 1231
Type: 3 | Act: 34 | File No.: 001-39952 | Film No.: 21620313

Mailing Address C/O SILVER LAKE 2776 SAND HILL ROAD, SUITE 100 MENLO PARK CA 94025
Business Address C/O SILVER LAKE 2776 SAND HILL ROAD, SUITE 100 MENLO PARK CA 94025 650-233-8120
SLTA VI (GP), L.L.C. (Reporting) CIK: 0001830356 (see all company filings)

State of Incorp.: DE | Fiscal Year End: 1231
Type: 3 | Act: 34 | File No.: 001-39952 | Film No.: 21620311

Mailing Address C/O SILVER LAKE 2776 SAND HILL ROAD, SUITE 100 MENLO PARK CA 94025
Business Address C/O SILVER LAKE 2776 SAND HILL ROAD, SUITE 100 MENLO PARK CA 94025 650-233-8120
SLP Quartz Aggregator, L.P. (Reporting) CIK: 0001841116 (see all company filings)

State of Incorp.: DE | Fiscal Year End: 1231
Type: 3 | Act: 34 | File No.: 001-39952 | Film No.: 21620314