0001348036-11-000002.txt : 20110502 0001348036-11-000002.hdr.sgml : 20110502 20110502162903 ACCESSION NUMBER: 0001348036-11-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506 FILED AS OF DATE: 20110502 DATE AS OF CHANGE: 20110502 EFFECTIVENESS DATE: 20110502 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: 021-159164 FILM NUMBER: 11801058 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 X0704 D LIVE 0001348036 AVALARA INC 435 ERICKSEN AVE NE STE 250 BAINBRIDGE ISLAND WA WASHINGTON 98110 206-780-4848 WASHINGTON None None Corporation true Scott McFarlane c/o 435 Ericksen Avenue N.E. Suite 250 Bainbridge Island WA WASHINGTON 98110 Executive Officer Director John Carleton c/o 435 Ericksen Avenue N.E. Suite 250 Bainbridge Island WA WASHINGTON 98110 Director Ned Gilhuly c/o 435 Ericksen Avenue N.E. Suite 250 Bainbridge Island WA WASHINGTON 98110 Director Ben Goux c/o 435 Ericksen Avenue N.E. Suite 250 Bainbridge Island WA WASHINGTON 98110 Director Kevin Riegelsberger c/o 435 Ericksen Avenue N.E. Suite 250 Bainbridge Island WA WASHINGTON 98110 Executive Officer Scott Steigerwald c/o 435 Ericksen Avenue N.E. Suite 250 Bainbridge Island WA WASHINGTON 98110 Director Jared Vogt c/o 435 Ericksen Avenue N.E. Suite 250 Bainbridge Island WA WASHINGTON 98110 Executive Officer Director Gary Waterman c/o 435 Ericksen Avenue N.E. Suite 250 Bainbridge Island WA WASHINGTON 98110 Director Jeff Westphal c/o 435 Ericksen Avenue N.E. Suite 250 Bainbridge Island WA WASHINGTON 98110 Director Larry Wolfe c/o 435 Ericksen Avenue N.E. Suite 250 Bainbridge Island WA WASHINGTON 98110 Director Other Technology Decline to Disclose 06 false 2011-04-15 false true false 0 21000000 10000000 11000000 false 1 0 0 0 false AVALARA INC /s/ Kevin Riegelsberger Kevin Riegelsberger President and COO 2011-04-29