0001950047-23-000339.txt : 20230502 0001950047-23-000339.hdr.sgml : 20230502 20230502195543 ACCESSION NUMBER: 0001950047-23-000339 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: 23881235 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: Anderson Brad R. CENTRAL INDEX KEY: 0001892442 FILING VALUES: FORM TYPE: 144 MAIL ADDRESS: STREET 1: C/O QUALTRICS INTERNATIONAL INC. STREET 2: 333 WEST RIVER PARK DRIVE CITY: PROVO STATE: UT ZIP: 84604 144 1 primary_doc.xml 144 0001892442 XXXXXXXX LIVE 0001747748 QUALTRICS INTERNATIONAL INC. 001-39952 333 West River Park Drive Provo UT 84604 385-203-4999 BRAD ANDERSON Officer Common Morgan Stanley Smith Barney LLC

1 New York Plaza 38th Floor New York NY 10004

28464 509790.24 606324135 05/02/2023 NASD Common 05/02/2023 Restricted Stock Issuer N 28464 05/02/2023 None N BRAD ANDERSON

333 West River Park Drive Provo UT 84604

Common 02/10/2023 4148 66231.00 BRAD ANDERSON

333 West River Park Drive Provo UT 84604

Common 02/09/2023 5862 95028.00 BRAD ANDERSON

333 West River Park Drive Provo UT 84604

Common 02/08/2023 5247 86691.00 BRAD ANDERSON

333 West River Park Drive Provo UT 84604

Common 02/07/2023 10269 168825.00 BRAD ANDERSON

333 West River Park Drive Provo UT 84604

Common 02/06/2023 4296 70972.00 BRAD ANDERSON

333 West River Park Drive Provo UT 84604

Common 02/03/2023 3288 54459.00 05/02/2023 /s/ Brad Anderson