0001348036-13-000001.txt : 20130110 0001348036-13-000001.hdr.sgml : 20130110 20130110122810 ACCESSION NUMBER: 0001348036-13-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506 FILED AS OF DATE: 20130110 DATE AS OF CHANGE: 20130110 EFFECTIVENESS DATE: 20130110 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: 021-189907 FILM NUMBER: 13522214 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 X0706 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, Suite 220 Bainbridge Island WA WASHINGTON 98110 Executive Officer Director John Carleton c/o 100 Ravine Lane, Suite 220 Bainbridge Island WA WASHINGTON 98110 Director Marion R Foote c/o 100 Ravine Lane, Suite 220 Bainbridge Island WA WASHINGTON 98110 Director Ned Gilhuly c/o 100 Ravine Lane, Suite 220 Bainbridge Island WA WASHINGTON 98110 Director Ben Goux c/o 100 Ravine Lane, Suite 220 Bainbridge Island WA WASHINGTON 98110 Director Kevin Riegelsberger c/o 100 Ravine Lane, Suite 220 Bainbridge Island WA WASHINGTON 98110 Executive Officer Chelsea Stoner c/o 100 Ravine Lane, Suite 220 Bainbridge Island WA WASHINGTON 98110 Director Jared Vogt c/o 100 Ravine Lane, Suite 220 Bainbridge Island WA WASHINGTON 98110 Executive Officer Director Gary Waterman c/o 100 Ravine Lane, Suite 220 Bainbridge Island WA WASHINGTON 98110 Director Larry Wolfe c/o 100 Ravine Lane, Suite 220 Bainbridge Island WA WASHINGTON 98110 Director Other Technology Decline to Disclose 06 false 2012-12-31 false true true Stock issued pursuant to Asset Purchase Agreement. 0 425355 425355 0 false 1 0 0 0 false AVALARA INC /s/ Kevin Riegelsberger Kevin Riegelsberger President 2013-01-08