0001950047-23-001107.txt : 20230601 0001950047-23-001107.hdr.sgml : 20230601 20230601161500 ACCESSION NUMBER: 0001950047-23-001107 CONFORMED SUBMISSION TYPE: 144 PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20230601 DATE AS OF CHANGE: 20230601 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: 144 SEC ACT: 1933 Act SEC FILE NUMBER: 001-39952 FILM NUMBER: 23984819 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 REPORTING-OWNER: COMPANY DATA: COMPANY CONFORMED NAME: McMurray Bill CENTRAL INDEX KEY: 0001842121 FILING VALUES: FORM TYPE: 144 MAIL ADDRESS: STREET 1: QUALTRICS INTERNATIONAL INC. STREET 2: 333 WEST RIVER PARK DRIVE CITY: PROVO STATE: UT ZIP: 84604 144 1 primary_doc.xml 144 0001842121 XXXXXXXX LIVE 0001747748 QUALTRICS INTL INC COM CL A 001-39952 333 West River Park Drive Provo UT 84604 3852034999 Bill Mcmurray Officer COMMON Morgan Stanley Smith Barney LLC Executive Financial Services
1 New York Plaza 38th Fl. New York NY 10004
15000 271200.00 183221283 06/01/2023 NASDAQ
Common 11/01/2021 Restricted Stock Units Issuer N 15000 11/01/2021 N/A Y 06/01/2023 02/01/2023 /s/ Bill Mcmurray