0001209191-21-059873.txt : 20211006
0001209191-21-059873.hdr.sgml : 20211006
20211006202054
ACCESSION NUMBER: 0001209191-21-059873
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211005
FILED AS OF DATE: 20211006
DATE AS OF CHANGE: 20211006
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Tennenbaum Ross
CENTRAL INDEX KEY: 0001807571
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38525
FILM NUMBER: 211310841
MAIL ADDRESS:
STREET 1: 255 S KING ST, 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
2021-10-05
0
0001348036
AVALARA, INC.
AVLR
0001807571
Tennenbaum Ross
255 SOUTH KING ST.
SUITE 1800
SEATTLE
WA
98104
0
1
0
0
See Remarks
Common Stock
2021-10-05
4
M
0
250
55.10
A
64967
D
Common Stock
2021-10-05
4
M
0
654
67.27
A
65621
D
Common Stock
2021-10-05
4
S
0
904
166.80
D
64717
D
Stock Option (right to buy)
55.10
2021-10-05
4
M
0
250
0.00
D
2029-04-22
Common Stock
250
16417
D
Stock Option (right to buy)
67.27
2021-10-05
4
M
0
654
0.00
D
2030-03-12
Common Stock
654
18969
D
The sale was effected pursuant to a Rule 10b5-1 trading plan originally adopted by the Reporting Person on March 9, 2020, and amended on February 16, 2021.
25% of the total shares subject to the option vested and became exercisable on March 4, 2020, and 1/48th of the total shares subject to the option vest and become exercisable monthly thereafter such that the option is fully vested and exercisable on March 4, 2023.
25% of the total shares subject to the option vested and became exercisable on March 5, 2021, and 1/48th of the total shares subject to the option vest and become exercisable monthly thereafter such that the option is fully vested and exercisable on March 5, 2024.
Chief Financial Officer and Treasurer
/s/Miles Treakle, Attorney-in-Fact
2021-10-06