SEC Form 4 · accession 0000899243-18-017237
AVALARA, INC. · AVLR
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Scott M McFarlane
Officer — See Remarks · Director
Period of report
Jan 23, 2018
Accepted (ET)
Jun 19, 2018 · 6:46 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001348036
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Feb 22, 2018 | S | 30,000 | $16.60 | D | 697,476 | D | |
| Common StockF1 | May 29, 2018 | P | 9,375 | $17.68 | A | 9,375 | I | By MVPROJECTS, LLC |
| Common StockF2 | Jun 19, 2018 | C | 12 | — | A | 697,488 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Series A Preferred StockF2 | — | Jun 19, 2018 | C | 25 | D | — | — | Common Stock | 12 | 0 | D |
| Stock Option (right to buy)F3 | $16.60 | Jan 23, 2018 | A | 150,000 | A | — | Jan 23, 2028 | Common Stock | 150,000 | 150,000 | D |
Explanation of responses
- F1The reporting person is a member of MVPROJECTS, LLC.
- F2Shares of preferred stock automatically converted into shares of common stock on a 2-to-1 basis immediately prior to the closing of the Issuer's initial public offering with cash paid in lieu of a fractional share. The preferred stock had no expiration date.
- F3The option vests and becomes exercisable as to 25% of the total shares on Janaury 1, 2019, and 1/48th of the total shares vest and become exercisable monthly thereafter such that the option is fully vested and exercisable on January 1, 2022.
Remarks
Chairman, Chief Executive Officer and President