-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, LCZvu9fUxIEGOMEY31ZrGdSd2Lkzw4mHOXwxsz/UQ4Xki1MGz6kxZqkCEVc1mN07 EvNbYFA0gKXVTkosdeC9Pw== 0001348036-10-000002.txt : 20100128 0001348036-10-000002.hdr.sgml : 20100128 20100128134319 ACCESSION NUMBER: 0001348036-10-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506 FILED AS OF DATE: 20100128 DATE AS OF CHANGE: 20100128 EFFECTIVENESS DATE: 20100128 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AVALARA INC CENTRAL INDEX KEY: 0001348036 IRS NUMBER: 911995935 STATE OF INCORPORATION: WA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-84271 FILM NUMBER: 10553143 BUSINESS ADDRESS: STREET 1: 435 ERICKSEN AVE NE STREET 2: STE 250 CITY: BAINBRIDGE ISLAND STATE: WA ZIP: 98110 BUSINESS PHONE: 206-780-4848 MAIL ADDRESS: STREET 1: 435 ERICKSEN AVE NE STREET 2: STE 250 CITY: BAINBRIDGE ISLAND STATE: WA ZIP: 98110 D 1 primary_doc.xml X0603 D LIVE 0001348036 AVALARA INC 435 ERICKSEN AVE NE STE 250 BAINBRIDGE ISLAND WA 98110 206-780-4848 WASHINGTON None None Corporation true Scott McFarlane 435 ERICKSEN AVE NE Suite 250 Bainbridge Island WA 98110 Executive Officer Director Jared Vogt 435 ERICKSEN AVE NE Suite 250 Bainbridge Island WA 98110 Director John Carleton 435 ERICKSEN AVE NE Suite 250 Bainbridge Island WA 98110 Director Gary Waterman 435 ERICKSEN AVE NE Suite 250 Bainbridge Island WA 98110 Director Scott Steigerwald 435 ERICKSEN AVE NE Suite 250 Bainbridge Island WA 98110 Director Ben Goux 435 ERICKSEN AVE NE Suite 250 Bainbridge Island WA 98110 Director Other Technology Decline to Disclose 06 false 2010-01-21 false true true Share exchange in conjunction with a merger. 1 5000000 5000000 0 Share exchange in conjunction with a merger. true 7 30 0 0 0 Share exchange in conjunction with a merger. false AVALARA INC /s/ Daren Nitz Daren Nitz Assistant Secretary 2010-01-28 -----END PRIVACY-ENHANCED MESSAGE-----