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Form 3 - Initial statement of beneficial ownership of securities:
SEC Accession No. 0001628280-21-011141
Filing Date
2021-05-26
Accepted
2021-05-26 17:42:20
Documents
3
Period of Report
2021-05-25

Document Format Files

Seq Description Document Type Size
1 FORM 3 wf-form3_162206531751810.html 3  
1 FORM 3 wf-form3_162206531751810.xml 3 1712
2 POWER OF ATTORNEY, SCOTT E. RUSSELL qualtrics-section16power.htm EX-24 2688
3 POWER OF ATTORNEY, SCOTT E. RUSSELL qualtrics-section16power001.jpg GRAPHIC 169982
  Complete submission text file 0001628280-21-011141.txt   240061
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 QUALTRICS INTERNATIONAL INC. 333 WEST RIVER PARK DRIVE PROVO UT 84604
Business Address
Russell Scott E (Reporting) CIK: 0001864299 (see all company filings)

Type: 3 | Act: 34 | File No.: 001-39952 | Film No.: 21967651