0001348036-11-000004.txt : 20110912 0001348036-11-000004.hdr.sgml : 20110912 20110912170239 ACCESSION NUMBER: 0001348036-11-000004 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506 FILED AS OF DATE: 20110912 DATE AS OF CHANGE: 20110912 EFFECTIVENESS DATE: 20110912 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/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-159164 FILM NUMBER: 111086197 BUSINESS ADDRESS: STREET 1: 100 RAVINE LANE NE STREET 2: STE 220 CITY: BAINBRIDGE ISLAND STATE: WA ZIP: 98110 BUSINESS PHONE: 206-780-4848 MAIL ADDRESS: STREET 1: 100 RAVINE LANE NE STREET 2: STE 220 CITY: BAINBRIDGE ISLAND STATE: WA ZIP: 98110 D/A 1 primary_doc.xml X0704 D/A LIVE 0001348036 AVALARA INC 100 RAVINE LANE NE STE 220 BAINBRIDGE ISLAND WA WASHINGTON 98110 206-780-4848 WASHINGTON None None Corporation true Scott McFarlane c/o 100 Ravine Lane N.E. Suite 220 Bainbridge Island WA WASHINGTON 98110 Executive Officer Director John Carleton c/o 100 Ravine Lane N.E. Suite 220 Bainbridge Island WA WASHINGTON 98110 Director Ned Gilhuly c/o 100 Ravine Lane N.E. Suite 220 Bainbridge Island WA WASHINGTON 98110 Director Ben Goux c/o 100 Ravine Lane N.E. Suite 220 Bainbridge Island WA WASHINGTON 98110 Director Kevin Riegelsberger c/o 100 Ravine Lane N.E. Suite 220 Bainbridge Island WA WASHINGTON 98110 Executive Officer Scott Steigerwald c/o 100 Ravine Lane N.E. Suite 220 Bainbridge Island WA WASHINGTON 98110 Director Jared Vogt c/o 100 Ravine Lane N.E. Suite 220 Bainbridge Island WA WASHINGTON 98110 Executive Officer Director Gary Waterman c/o 100 Ravine Lane N.E. Suite 220 Bainbridge Island WA WASHINGTON 98110 Director Larry Wolfe c/o 100 Ravine Lane N.E. Suite 220 Bainbridge Island WA WASHINGTON 98110 Director Marion Robin Foote c/o 100 Ravine Lane N.E. Suite 220 Bainbridge Island WA WASHINGTON 98110 Director Other Technology Decline to Disclose 06 true 0001348036-11-000002 2011-04-15 false true false 0 21250001 21218987 31014 false 17 0 0 0 false AVALARA INC /s/ Kevin Riegelsberger Kevin Riegelsberger President 2011-09-12