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