0001209191-20-019375.txt : 20200316 0001209191-20-019375.hdr.sgml : 20200316 20200316183517 ACCESSION NUMBER: 0001209191-20-019375 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200312 FILED AS OF DATE: 20200316 DATE AS OF CHANGE: 20200316 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Mathradas Amit CENTRAL INDEX KEY: 0001770686 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38525 FILM NUMBER: 20718670 MAIL ADDRESS: STREET 1: 255 S KING ST STREET 2: STE 1800 CITY: SEATTLE STATE: WA ZIP: 98104 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 2020-03-12 0 0001348036 AVALARA, INC. AVLR 0001770686 Mathradas Amit 255 SOUTH KING ST. SUITE 1800 SEATTLE WA 98104 0 1 0 0 See Remarks Common Stock 2020-03-12 4 A 0 26316 0.00 A 103906 D Stock Option (right to buy) 67.27 2020-03-12 4 A 0 27701 0.00 A 2030-03-12 Common Stock 27701 27701 D The option vests and becomes exercisable as to 25% of the total shares on March 5, 2021, and 1/48th of the total shares vest and become exercisable monthly thereafter such that the option is fully vested and exercisable on March 5, 2024. President and Chief Operating Officer /s/ Alesia L. Pinney, Attorney-in-Fact 2020-03-16