Form Type: 4

SEC EDGAR Link
Acccession Number:0001741527-19-000001
Date:2019-08-09
Issuer: AVALARA, INC. (AVLR)
Original Submission Date:

Reporting Person:

STONER CHELSEA R.
C/O BATTERY VENTURES
ONE MARINA PARK DRIVE, SUITE 1100 BOSTON, MA 02210

Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
Title of SecurityTransaction Date2a. Deemed Execution Date Transaction CodeSharesAcquired or DisposedPrice per share 5. Amount of Securities Beneficially Owned Following Reported Transaction 6. Ownership Form Direct or IndirectNature of Indirect Ownership
COMMON STOCK 2019-08-09 J 14,287 a $0.00 69,819 direct
Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, convertible securities
Title of Derivative Security Conversion or Exercise Price of Derivative Security Transaction Date Deemed Execution Date Transaction Code Number of Derivative Securities Acquired (A) or Disposed of (D) Date ExercisableExpiration Date Title and Amount of Securities Underlying Derivative Security Price of Derivative Security Number of derivative Securities Beneficially Owned Following Reported Transaction(s) Ownership Form: Direct (D) or Indirect (I) Nature of Indirect Beneficial Ownership
Footnotes
IDfootnote
f1 pro-rata in-kind distribution from battery ventures ix, l.p. and battery investment partners ix, llc to their partners and members without consideration, including battery partners ix, llc ("bp ix"), and the further pro-rata in-kind distribution of such shares by bp ix to its members, including the reporting person.

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