0001209191-20-036683.txt : 20200615
0001209191-20-036683.hdr.sgml : 20200615
20200615171529
ACCESSION NUMBER: 0001209191-20-036683
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200611
FILED AS OF DATE: 20200615
DATE AS OF CHANGE: 20200615
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: GILHULY EDWARD A
CENTRAL INDEX KEY: 0001206780
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38525
FILM NUMBER: 20964190
MAIL ADDRESS:
STREET 1: C/O SAGEVIEW CAPITAL LP
STREET 2: 245 LYTTON AVENUE, SUITE 250
CITY: PALO ALTO
STATE: CA
ZIP: 94301
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: AVALARA, INC.
CENTRAL INDEX KEY: 0001348036
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372]
IRS NUMBER: 911995935
STATE OF INCORPORATION: WA
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 255 S. KING ST.
STREET 2: SUITE 1800
CITY: SEATTLE
STATE: WA
ZIP: 98104
BUSINESS PHONE: (206) 826-4900
MAIL ADDRESS:
STREET 1: 255 S. KING ST.
STREET 2: SUITE 1800
CITY: SEATTLE
STATE: WA
ZIP: 98104
FORMER COMPANY:
FORMER CONFORMED NAME: AVALARA INC
DATE OF NAME CHANGE: 20051227
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2020-06-11
0
0001348036
AVALARA, INC.
AVLR
0001206780
GILHULY EDWARD A
255 SOUTH KING ST., SUITE 1800
SEATTLE
WA
98104
1
0
0
0
Common Stock
2020-06-11
4
A
0
752
0.00
A
1784
D
Common Stock
220000
I
See Footnote
Stock Option (right to buy)
99.65
2020-06-11
4
A
0
1927
0.00
A
2030-06-11
Common Stock
1927
1927
D
Reflects shares held by trusts for the benefit of members of the Reporting Person's family.
The option vests and becomes exercisable in full on the earlier to occur of June 11, 2021, or the date immediately prior to the date of the 2021 annual meeting of the Issuer's shareholders.
/s/ Alesia L. Pinney, Attorney-in-Fact
2020-06-15