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