0001209191-22-054085.txt : 20221019
0001209191-22-054085.hdr.sgml : 20221019
20221019170952
ACCESSION NUMBER: 0001209191-22-054085
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20221019
FILED AS OF DATE: 20221019
DATE AS OF CHANGE: 20221019
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: 221319200
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
2022-10-19
1
0001348036
AVALARA, INC.
AVLR
0001206780
GILHULY EDWARD A
255 SOUTH KING ST., SUITE 1800
SEATTLE
WA
98104
1
0
0
0
Common Stock
2022-10-19
4
D
0
4597
93.50
D
0
D
Common Stock
2022-10-19
4
D
0
220000
93.50
D
0
I
See Footnote
Disposed of pursuant to the Agreement and Plan of Merger, dated as of August 8, 2022, by and among the Issuer, Lava Intermediate, Inc. and Lava Merger Sub, Inc., pursuant to which the outstanding shares of the Issuer's Common Stock (other than certain excluded shares) were converted into the right to receive, without interest, the cash merger consideration of $93.50 per share. Amount includes 2,254 restricted stock units held by the Reporting Person whose acquisition was previously reported in Table I that became fully vested immediately prior to the effective time of the merger and thereafter were cancelled and converted into the right to receive, without interest, $93.50 per share.
Reflects shares previously held by trusts for the benefit of members of the Reporting Person's family.
/s/ Miles Treakle, Attorney-in-Fact
2022-10-19