2023 Form 5500 filing — Qualtrics 401(K) Plan
Plain-English filing summary
According to public Form 5500 filings published through the U.S. Department of Labor (DOL) Employee Benefits Security Administration (EBSA) via the EFAST2 system, this is the 2023 Form 5500 filing (EFAST2 acknowledgement 20241007105021NAL0015949409001) for Qualtrics 401(K) Plan, reported by Qualtrics LLC under EIN 45-4964116 and plan number 002. It reports 4,809 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20241007105021NAL0015949409001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Qualtrics LLC
- EIN
- 45-4964116
- Plan number
- 002
- Location
- Provo, UT
- Participants
- 4,809
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $360,962,127
- Total liabilities (EOY)
- $0
- Net assets (EOY)
- $360,962,127
- Employer contributions
- $31,632,937
- Participant contributions
- $50,308,980
- Total income / additions
- $140,881,880
- Benefits paid
- $26,531,763
- Administrative expenses
- $172,121
- Total expenses
- $26,724,312
- Net increase / (decrease)
- $114,157,568
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| The Vanguard Group, Inc. | NONE | $119,328 | $0 |
| Vanguard Advisers Inc. | NONE | $55,723 | not reported in the loaded dataset |