0001348036-12-000001.txt : 20120629 0001348036-12-000001.hdr.sgml : 20120629 20120629145630 ACCESSION NUMBER: 0001348036-12-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506 FILED AS OF DATE: 20120629 DATE AS OF CHANGE: 20120629 EFFECTIVENESS DATE: 20120629 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: 021-180541 FILM NUMBER: 12935662 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 1 primary_doc.xml X0705 D 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 NE, Suite 220 Bainbridge Island WA WASHINGTON 98110 Executive Officer Director John Carleton c/o 100 Ravine Lane NE, Suite 220 Bainbridge Island WA WASHINGTON 98110 Director Marion R Foote c/o 100 Ravine Lane NE, Suite 220 Bainbridge Island WA WASHINGTON 98110 Director Ned Gilhuly c/o 100 Ravine Lane NE, Suite 220 Bainbridge Island WA WASHINGTON 98110 Director Ben Goux c/o 100 Ravine Lane NE, Suite 220 Bainbridge Island WA WASHINGTON 98110 Director Kevin Riegelsberger c/o 100 Ravine Lane NE, Suite 220 Bainbridge Island WA WASHINGTON 98110 Executive Officer Chelsea Stoner c/o 100 Ravine Lane NE, Suite 220 Bainbridge Island WA WASHINGTON 98110 Director Jared Vogt c/o 100 Ravine Lane NE, Suite 220 Bainbridge Island WA WASHINGTON 98110 Director Gary Waterman c/o 100 Ravine Lane NE, Suite 220 Bainbridge Island WA WASHINGTON 98110 Director Larry Wolfe c/o 100 Ravine Lane NE, Suite 220 Bainbridge Island WA WASHINGTON 98110 Director Other Technology Decline to Disclose 06 false 2012-06-18 false true false 0 20000000 20000000 0 false 2 0 0 0 false AVALARA INC /s/ Scott McFarlane Scott McFarlane Chief Executive Officer 2012-06-28