0001209191-21-038715.txt : 20210607
0001209191-21-038715.hdr.sgml : 20210607
20210607172128
ACCESSION NUMBER: 0001209191-21-038715
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210603
FILED AS OF DATE: 20210607
DATE AS OF CHANGE: 20210607
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: 211000426
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
2021-06-03
0
0001348036
AVALARA, INC.
AVLR
0001206780
GILHULY EDWARD A
255 SOUTH KING ST., SUITE 1800
SEATTLE
WA
98104
1
0
0
0
Common Stock
2021-06-03
4
A
0
1591
0.00
A
2343
D
Common Stock
220000
I
See Footnote
Reflects shares held by trusts for the benefit of members of the Reporting Person's family.
/s/ Miles Treakle, Attorney-in-Fact
2021-06-07