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