SEC Form 4 · accession 0000899243-19-004233
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
Feb 15, 2019
Accepted (ET)
Feb 20, 2019 · 4:17 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 StockF1 | Feb 15, 2019 | M | 27,314 | $1.90 | A | 56,290 | D | |
| Common Stock | Feb 15, 2019 | M | 25,000 | $4.50 | A | 81,290 | D | |
| Common Stock | Feb 15, 2019 | M | 25,000 | $4.50 | A | 106,290 | D | |
| Common Stock | Feb 15, 2019 | M | 23,958 | $12.20 | A | 130,248 | D | |
| Common Stock | Feb 15, 2019 | M | 32,652 | $12.34 | A | 162,900 | D | |
| Common Stock | Feb 15, 2019 | M | 46,993 | $13.84 | A | 209,893 | D | |
| Common Stock | Feb 15, 2019 | M | 175,000 | $8.04 | A | 384,893 | D | |
| Common StockF3 | Feb 15, 2019 | S | 138,127 | $49.29 | D | 246,766 | D | |
| Common StockF4 | Feb 15, 2019 | S | 217,790 | $49.75 | D | 28,976 | 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) | $1.90 | Feb 15, 2019 | M | 27,314 | D | Oct 3, 2015 | Dec 13, 2021 | Common Stock | 27,314 | 0 | D |
| Stock Option (Right to Buy) | $4.50 | Feb 15, 2019 | M | 25,000 | D | Jan 1, 2017 | Feb 13, 2023 | Common Stock | 25,000 | 25,000 | D |
| Stock Option (Right to Buy) | $4.50 | Feb 15, 2019 | M | 25,000 | D | Jan 1, 2017 | Feb 13, 2023 | Common Stock | 25,000 | 0 | D |
| Stock Option (Right to Buy) | $8.04 | Feb 15, 2019 | M | 175,000 | D | Jan 1, 2018 | Feb 25, 2024 | Common Stock | 175,000 | 0 | D |
| Stock Option (Right to Buy) | $12.20 | Feb 15, 2019 | M | 23,958 | D | Jan 1, 2019 | Jan 28, 2025 | Common Stock | 23,958 | 1,042 | D |
| Stock Option (Right to Buy)F5 | $12.34 | Feb 15, 2019 | M | 32,652 | D | — | Jun 16, 2026 | Common Stock | 32,652 | 19,592 | D |
| Stock Option (Right to Buy)F6 | $13.84 | Feb 15, 2019 | M | 46,993 | D | — | Feb 9, 2027 | Common Stock | 46,993 | 55,539 | D |
Explanation of responses
- F1Includes 1,463 shares purchased under the Avalara, Inc. 2018 Employee Stock Purchase Plan on January 31, 2019.
- F2The sale was effected pursuant to a Rule 10b5-1 trading plan adopted by the Reporting Person on November 28, 2018.
- F3The 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.
- F4The 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.
- F5The 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.
- F6The 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.
Remarks
Executive Vice President and Chief Revenue Officer