0000899243-19-004233.txt : 20190220
0000899243-19-004233.hdr.sgml : 20190220
20190220161729
ACCESSION NUMBER: 0000899243-19-004233
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190215
FILED AS OF DATE: 20190220
DATE AS OF CHANGE: 20190220
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Van Dooren Pascal
CENTRAL INDEX KEY: 0001741465
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38525
FILM NUMBER: 19618479
MAIL ADDRESS:
STREET 1: 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
2019-02-15
0
0001348036
AVALARA, INC.
AVLR
0001741465
Van Dooren Pascal
255 SOUTH KING ST., SUITE 1800
SEATTLE
WA
98104
0
1
0
0
See Remarks
Common Stock
2019-02-15
4
M
0
27314
1.90
A
56290
D
Common Stock
2019-02-15
4
M
0
25000
4.50
A
81290
D
Common Stock
2019-02-15
4
M
0
25000
4.50
A
106290
D
Common Stock
2019-02-15
4
M
0
23958
12.20
A
130248
D
Common Stock
2019-02-15
4
M
0
32652
12.34
A
162900
D
Common Stock
2019-02-15
4
M
0
46993
13.84
A
209893
D
Common Stock
2019-02-15
4
M
0
175000
8.04
A
384893
D
Common Stock
2019-02-15
4
S
0
138127
49.29
D
246766
D
Common Stock
2019-02-15
4
S
0
217790
49.75
D
28976
D
Stock Option (Right to Buy)
1.90
2019-02-15
4
M
0
27314
0.00
D
2015-10-03
2021-12-13
Common Stock
27314
0
D
Stock Option (Right to Buy)
4.50
2019-02-15
4
M
0
25000
0.00
D
2017-01-01
2023-02-13
Common Stock
25000
25000
D
Stock Option (Right to Buy)
4.50
2019-02-15
4
M
0
25000
0.00
D
2017-01-01
2023-02-13
Common Stock
25000
0
D
Stock Option (Right to Buy)
8.04
2019-02-15
4
M
0
175000
0.00
D
2018-01-01
2024-02-25
Common Stock
175000
0
D
Stock Option (Right to Buy)
12.20
2019-02-15
4
M
0
23958
0.00
D
2019-01-01
2025-01-28
Common Stock
23958
1042
D
Stock Option (Right to Buy)
12.34
2019-02-15
4
M
0
32652
0.00
D
2026-06-16
Common Stock
32652
19592
D
Stock Option (Right to Buy)
13.84
2019-02-15
4
M
0
46993
0.00
D
2027-02-09
Common Stock
46993
55539
D
Includes 1,463 shares purchased under the Avalara, Inc. 2018 Employee Stock Purchase Plan on January 31, 2019.
The sale was effected pursuant to a Rule 10b5-1 trading plan adopted by the Reporting Person on November 28, 2018.
The price reported is a weighted average price. These shares were sold in multiple transactions at prices ranging from $48.95 to $49.525, 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 range.
The price reported is a weighted average price. These shares were sold in multiple transactions at prices ranging from $49.53 to $50.14, 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 range.
The option grant was for 52,244 shares of common stock with the following vesting schedule: 25% of the shares vested on May 5, 2017, and 1/48 vest monthly thereafter, such that the option will be fully vested on May 5, 2020.
The option grant was for 102,532 shares of common stock with the following vesting schedule: 25% of the shares vested on January 1, 2018, and 1/48 vest monthly thereafter, such that the option will be fully vested on January 1, 2021.
Executive Vice President and Chief Revenue Officer
/s/ Alesia L. Pinney, Attorney-in-Fact
2019-02-20