0001950047-23-001526.txt : 20230612 0001950047-23-001526.hdr.sgml : 20230612 20230612194222 ACCESSION NUMBER: 0001950047-23-001526 CONFORMED SUBMISSION TYPE: 144 PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20230612 DATE AS OF CHANGE: 20230612 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: 231009889 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 INTERNATIONAL INC. 001-39952 333 West River Park Drive Provo UT 84604 385-203-4999 BRIAN STUCKI Officer Common Morgan Stanley Smith Barney LLC

1 New York Plaza 38th Floor New York NY 10004

2398 43331.86 606391893 06/12/2023 NASD Common 06/12/2023 Restricted Stock Issuer N 2398 06/12/2023 Not Applicable N BRIAN STUCKI

333 West River Park Drive Provo UT 84604

Common 05/04/2023 22000 393360.00 BRIAN STUCKI

333 West River Park Drive Provo UT 84604

Common 05/03/2023 20691 370275.00 BRIAN STUCKI

333 West River Park Drive Provo UT 84604

Common 05/02/2023 27473 492041.43 06/12/2023 /s/ Brian Lyle Stucki