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Form 4 - Statement of changes in beneficial ownership of securities:
SEC Accession No. 0000899243-22-005086
Filing Date
2022-02-07
Accepted
2022-02-07 19:49:42
Documents
1
Period of Report
2022-02-03

Document Format Files

Seq Description Document Type Size
1 FORM 4 SUBMISSION doc4.html 4  
1 FORM 4 SUBMISSION doc4.xml 4 17350
  Complete submission text file 0000899243-22-005086.txt   21696
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: 4 | Act: 34 | File No.: 001-39952 | Film No.: 22598957

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: 4 | Act: 34 | File No.: 001-39952 | Film No.: 22598953

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 2775 SAND HILL ROAD, SUITE 100 MENLO PARK CA 94025
Business Address C/O SILVER LAKE 2775 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: 4 | Act: 34 | File No.: 001-39952 | Film No.: 22598956

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: 4 | Act: 34 | File No.: 001-39952 | Film No.: 22598958

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 Partners VI DE (AIV), L.P. (Reporting) CIK: 0001850029 (see all company filings)

State of Incorp.: DE | Fiscal Year End: 1231
Type: 4 | Act: 34 | File No.: 001-39952 | Film No.: 22598955

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 Investors VI L.P. (Reporting) CIK: 0001850130 (see all company filings)

State of Incorp.: DE | Fiscal Year End: 1231
Type: 4 | Act: 34 | File No.: 001-39952 | Film No.: 22598954