0001209191-21-006839.txt : 20210202 0001209191-21-006839.hdr.sgml : 20210202 20210202170804 ACCESSION NUMBER: 0001209191-21-006839 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210129 FILED AS OF DATE: 20210202 DATE AS OF CHANGE: 20210202 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: 21582534 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 2021-01-29 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 2021-01-29 4 A 0 10881 0.00 A 109805 D President and Chief Operating Officer /s/ Miles Treakle, Attorney-in-Fact 2021-02-02