Sec Form 4 Filing - Stoner Chelsea R. @ AVALARA INC - 2018-01-24

Insider filing report for Changes in Beneficial Ownership
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FORM 4
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
Stoner Chelsea R.
2. Issuer Name and Ticker or Trading Symbol
AVALARA INC [ AVLR]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X __ Director _____ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
(Last) (First) (Middle)
255 SOUTH KING ST., SUITE 1800
3. Date of Earliest Transaction (MM/DD/YY)
01/24/2018
(Street)
SEATTLE, WA98104
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)
7. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 06/19/2018 M 10,000 ( 1 ) A $ 4.5 10,000 D
Common Stock 06/19/2018 F 1,011 D $ 44.525 8,989 D
Common Stock 06/19/2018 M 10,000 ( 1 ) A $ 9.72 18,989 D
Common Stock 06/19/2018 F 2,184 D $ 44.525 16,805 D
Common Stock 06/19/2018 M 10,000 ( 1 ) A $ 12.2 26,805 D
Common Stock 06/19/2018 F 2,741 D $ 44.525 24,064 D
Common Stock 06/19/2018 M 10,000 ( 1 ) A $ 12.6 34,064 D
Common Stock 06/19/2018 F 2,830 D $ 44.525 31,234 D
Common Stock 06/19/2018 M 10,000 ( 1 ) A $ 13.84 41,234 D
Common Stock 06/19/2018 F 3,109 D $ 44.525 38,125 D
Common Stock 06/19/2018 M 10,000 ( 1 ) A $ 16.6 48,125 D
Common Stock 06/19/2018 F 3,729 D $ 44.525 44,396 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 4. Transaction Code
(Instr. 8)
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4, and 5)
6. Date Exercisable and Expiration Date
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(Instr. 3 and 4)
8. Price of Derivative Security
(Instr. 5)
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 4)
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 4)
11. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Warrant (right to buy) $ 16.6 01/24/2018 A 10,000 ( 2 ) ( 3 ) Common Stock 10,000 $ 0 10,000 D
Warrant (right to buy) $ 4.5 06/19/2018 M 10,000 ( 2 ) ( 3 ) Common Stock 10,000 $ 0 0 D
Warrant (right to buy) $ 9.72 06/19/2018 M 10,000 ( 2 ) ( 3 ) Common Stock 10,000 $ 0 0 D
Warrant (right to buy) $ 12.2 06/19/2018 M 10,000 ( 2 ) ( 3 ) Common Stock 10,000 $ 0 0 D
Warrant (right to buy) $ 12.6 06/19/2018 M 10,000 ( 2 ) ( 3 ) Common Stock 10,000 $ 0 0 D
Warrant (right to buy) $ 13.84 06/19/2018 M 10,000 ( 2 ) ( 3 ) Common Stock 10,000 $ 0 0 D
Warrant (right to buy) $ 16.6 06/19/2018 M 10,000 ( 2 ) ( 3 ) Common Stock 10,000 $ 0 0 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Stoner Chelsea R.
255 SOUTH KING ST., SUITE 1800
SEATTLE, WA98104
X
Signatures
/s/ Daniel E. Manning, Attorney-in-Fact 06/19/2018
Signature of Reporting Person Date
Explanation of Responses:
( 1 )The shares issuable upon exercise of the warrant are subject to the terms of a lock-up agreement entered into in connection with the Issuer's initial public offering.
( 2 )The warrant was fully exercisable upon grant.
( 3 )Unless sooner exercised, the warrant expires immediately prior to the closing of the Issuer's initial public offering and will be automatically net exercised pursuant to its terms if not exercised prior to that time.

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