0001209191-19-056609.txt : 20191114 0001209191-19-056609.hdr.sgml : 20191114 20191114172533 ACCESSION NUMBER: 0001209191-19-056609 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191113 FILED AS OF DATE: 20191114 DATE AS OF CHANGE: 20191114 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: INGRAM WILLIAM CENTRAL INDEX KEY: 0001269473 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38525 FILM NUMBER: 191221722 MAIL ADDRESS: STREET 1: C/O LEAP WIRELESS INTERNATIONAL, INC. STREET 2: 5887 COPLEY DRIVE CITY: SAN DIEGO STATE: CA ZIP: 92111 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 2019-11-13 0 0001348036 AVALARA, INC. AVLR 0001269473 INGRAM WILLIAM 255 SOUTH KING ST. SUITE 1800 SEATTLE WA 98104 0 1 0 0 See Remarks Common Stock 2019-11-13 4 M 0 25000 12.60 A 25979 D Common Stock 2019-11-13 4 S 0 20707 70.85 D 5272 D Common Stock 2019-11-13 4 S 0 4293 71.48 D 979 D Stock Option (right to buy) 12.60 2019-11-13 4 M 0 25000 0.00 D 2026-01-25 Common Stock 25000 340000 D The sale was effected pursuant to a Rule 10b5-1 trading plan adopted by the Reporting Person on November 20, 2018. The price reported is a weighted average price. These shares were sold in multiple transactions at prices ranging from $70.25 to $71.245, inclusive. Upon request by Avalara, Inc., any security holder thereof, or the staff of the Securities and Exchange Commission, the Reporting Person will provide full information regarding the number of shares sold at each separate price within the ranges set forth in footnotes (2) and (3) to this Form 4. The price reported is a weighted average price. These shares were sold in multiple transactions at prices ranging from $71.25 to $71.81, inclusive. The option grant was for 540,000 shares of common stock with the following vesting schedule: 25% of the shares vested on December 14, 2016, and 1/48 vest monthly thereafter, such that the option will be fully vested on December 14, 2019. Chief Financial Officer and Treasurer /s/ Alesia L. Pinney, Attorney-in-Fact 2019-11-14