0001209191-21-045070.txt : 20210702 0001209191-21-045070.hdr.sgml : 20210702 20210702170753 ACCESSION NUMBER: 0001209191-21-045070 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210701 FILED AS OF DATE: 20210702 DATE AS OF CHANGE: 20210702 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Tallapragada Srinivas CENTRAL INDEX KEY: 0001742882 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38525 FILM NUMBER: 211071365 MAIL ADDRESS: STREET 1: THE LANDMARK AT ONE MARKET STREET, #300 CITY: SAN FRANCISCO STATE: CA ZIP: 94105 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 2021-07-01 0 0001348036 AVALARA, INC. AVLR 0001742882 Tallapragada Srinivas 415 MISSION STREET 3RD FLOOR SAN FRANCISCO CA 94105 1 0 0 0 Common Stock 2021-07-01 4 A 0 1145 0.00 A 1145 D Reflects a pro rata portion of the 2021 annual director RSU grant for board service from the Reporting Person's 7/1/2021 appointment until the 6/3/2022 anniversary of the 2021 annual director RSU grant. /s/ Miles Treakle, Attorney-in-Fact 2021-07-01