SEC Form 4 · accession 0000899243-19-002221
AVALARA, INC. · AVLR
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Pascal Van Dooren
Officer — See Remarks
Period of report
Jan 28, 2019
Accepted (ET)
Jan 30, 2019 · 6:18 pm EST
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 | Jan 28, 2019 | A | 27,513 | $0.00 | A | 27,513 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (Right to Buy)F1 | $39.76 | Jan 28, 2019 | A | 26,666 | A | — | Jan 28, 2029 | Common Stock | 26,666 | 26,666 | D |
Explanation of responses
- F1The option vests over four years such that 25% of the total option shall be vested on January 1, 2020, and 1/48 of the total option shall vest monthly thereafter over the next three years, such that the option will be fully vested on January 1, 2023.
Remarks
Executive Vice President and Chief Revenue Officer