0000899243-19-002219.txt : 20190130 0000899243-19-002219.hdr.sgml : 20190130 20190130181713 ACCESSION NUMBER: 0000899243-19-002219 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190128 FILED AS OF DATE: 20190130 DATE AS OF CHANGE: 20190130 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PINNEY ALESIA LEE CENTRAL INDEX KEY: 0001235461 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38525 FILM NUMBER: 19553153 MAIL ADDRESS: STREET 1: AVALARA, INC. STREET 2: 255 SOUTH KING ST., SUITE 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 2019-01-28 0 0001348036 AVALARA, INC. AVLR 0001235461 PINNEY ALESIA LEE 255 SOUTH KING ST., SUITE 1800 SEATTLE WA 98104 0 1 0 0 See Remarks Common Stock 2019-01-28 4 A 0 22928 0.00 A 23243 D Stock Option (Right to Buy) 39.76 2019-01-28 4 A 0 22222 0.00 A 2029-01-28 Common Stock 22222 22222 D The option vests over four years such that 25% of the total option shall be vested on January 1, 2020, and 1/48 of the total option shall vest monthly thereafter over the next three years, such that the option will be fully vested on January 1, 2023. Executive Vice President, General Counsel, and Secretary /s/ Alesia L. Pinney 2019-01-30