0001950047-23-000334.txt : 20230502 0001950047-23-000334.hdr.sgml : 20230502 20230502192620 ACCESSION NUMBER: 0001950047-23-000334 CONFORMED SUBMISSION TYPE: 144 PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20230502 DATE AS OF CHANGE: 20230502 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: 23881153 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: Bachman Robert W CENTRAL INDEX KEY: 0001842759 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 0001842759 XXXXXXXX LIVE 0001747748 QUALTRICS INTERNATIONAL INC. 001-39952 333 West River Park Drive Provo UT 84604 385-203-4999 ROBERT WEAVER BACHMAN Officer Common Morgan Stanley Smith Barney LLC

1 New York Plaza 38th Floor New York NY 10004

31537 564827.67 606324135 05/02/2023 NASD Common 05/02/2023 Restricted Stock Issuer N 31537 05/02/2023 None N ROBERT WEAVER BACHMAN

333 West River Park Drive Provo UT 84604

Common 02/10/2023 4817 76914.00 ROBERT WEAVER BACHMAN

333 West River Park Drive Provo UT 84604

Common 02/09/2023 6808 110364.00 ROBERT WEAVER BACHMAN

333 West River Park Drive Provo UT 84604

Common 02/08/2023 6093 100669.00 ROBERT WEAVER BACHMAN

333 West River Park Drive Provo UT 84604

Common 02/07/2023 11926 196067.00 ROBERT WEAVER BACHMAN

333 West River Park Drive Provo UT 84604

Common 02/06/2023 4988 82404.00 ROBERT WEAVER BACHMAN

333 West River Park Drive Provo UT 84604

Common 02/03/2023 3818 63237.00 05/02/2023 /s/ Robert Weaver Bachman