0001950047-23-000394.txt : 20230504 0001950047-23-000394.hdr.sgml : 20230504 20230504162959 ACCESSION NUMBER: 0001950047-23-000394 CONFORMED SUBMISSION TYPE: 144 PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20230504 DATE AS OF CHANGE: 20230504 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: 23889241 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: Stucki Brian CENTRAL INDEX KEY: 0001954798 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 0001954798 XXXXXXXX LIVE 0001747748 QUALTRICS INTL INC COM CL A 001-39952 333 West River Park Drive Provo UT 84604 3852034999 Brian Lyle Stucki Officer COMMON Morgan Stanley Smith Barney LLC Executive Financial Services
1 New York Plaza 38th Fl. New York NY 10004
22000 393360.00 183221283 05/04/2023 NASDAQ
Common 01/01/2022 Restricted Stock Units Issuer N 22000 01/01/2022 N/A N BRIAN LYLE STUCKI
333 West River Park Drive Provo UT 84604
Common 05/02/2023 27473 492041.43
BRIAN LYLE STUCKI
333 West River Park Drive Provo UT 84604
Common 02/10/2023 3078 49146.78
BRIAN LYLE STUCKI
333 West River Park Drive Provo UT 84604
Common 02/09/2023 4350 70515.38
BRIAN LYLE STUCKI
333 West River Park Drive Provo UT 84604
Common 02/08/2023 3950 65262.35
BRIAN LYLE STUCKI
333 West River Park Drive Provo UT 84604
Common 02/07/2023 7731 72242950.60
BRIAN LYLE STUCKI
333 West River Park Drive Provo UT 84604
Common 02/06/2023 3234 53392.61
The securities to be sold were acquired upon the vesting of restricted stock units during the period of 01/01/2022 through 02/01/2022. 05/04/2023 02/01/2023 /s/ Brian Lyle Stucki