Filing Details

Accession Number:
0000899243-20-030251
Form Type:
4
Zero Holdings:
No
Publication Time:
2020-11-03 16:49:02
Reporting Period:
2020-10-30
Accepted Time:
2020-11-03 16:49:02
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1818383 Mediaalpha Inc. MAX Insurance Carriers, Nec (6399) 851854133
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1829946 Steven Yi C/O Mediaalpha, Inc.
700 South Flower Street, Suite 640
Los Angeles CA 90017
See Remarks Yes Yes No No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Class B Common Stock Disposition 2020-10-30 1,464 $0.00 46,166 No 4 S Direct
Class B Common Stock Disposition 2020-10-30 144,646 $0.00 4,567,729 No 4 S Indirect By OBF Investments, LLC
Class B Common Stock Disposition 2020-10-30 699,904 $0.00 198,024 No 4 S Indirect By QuoteLab Holdings, Inc.
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 S Direct
No 4 S Indirect By OBF Investments, LLC
No 4 S Indirect By QuoteLab Holdings, Inc.
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Class A Common Stock CLASS B-1 UNITS OF QL HOLDINGS LLC Disposition 2020-10-30 1,464 $0.00 1,464 $0.00
Class A Common Stock CLASS B-1 UNITS OF QL HOLDINGS LLC Disposition 2020-10-30 144,646 $0.00 144,646 $0.00
Class A Common Stock CLASS B-1 UNITS OF QL HOLDINGS LLC Disposition 2020-10-30 699,904 $0.00 699,904 $0.00
Class A Common Stock RESTRICTED STOCK UNITS Acquisiton 2020-10-30 1,837,765 $0.00 1,837,765 $0.00
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
46,166 No 4 S Direct
4,567,729 No 4 S Indirect
198,024 No 4 S Indirect
1,837,765 No 4 A Direct
Footnotes
  1. On October 27, 2020, MediaAlpha, Inc. (the "Issuer"), closed its initial public offering (the "IPO") of its shares of Class A common stock, par value $0.01 per share (the "Class A Common Stock"). A portion of the net proceeds to the Issuer from the sale of shares of Class A common stock in the IPO was used to purchase 85,311 Class B-1 units of QL Holdings LLC (the "Class B-1 Units" and "QLH", respectively) (together with an equivalent number of shares of Class B Common Stock, par value $0.01 per share (the "Class B Stock")) from the Reporting Person, at a price of $17.67 per Class B-1 Unit (and no additional consideration for the shares of Class B Stock).
  2. Reflects shares of Class B Common Stock held directly by OBF Investments, LLC. Mr. Yi is the managing member and OBF Investments, LLC is wholly owned indirectly by Mr. Yi and his wife.
  3. Reflects 35% of the 1,999,725 shares of Class B Common Stock sold directly by QuoteLab Holdings, Inc. Mr. Yi is the indirect holder of 35% of the voting interests and economic interests in QuoteLab Holdings, Inc.
  4. Pursuant to the Exchange Agreement, dated October 27, 2020, among the Issuer, QLH, Guilford Holdings, Inc. and the Class B-1 members of QLH, each Class B-1 Unit (together with one share of Class B Stock for every Class B-1 Unit) is exchangeable for one share of the Issuer's Class A Common Stock, par value $0.01 per share.
  5. Reflects shares of Class B-1 Units held directly by OBF Investments, LLC. Mr. Yi is the managing member and OBF Investments, LLC is wholly owned indirectly by Mr. Yi and his wife.
  6. Reflects 35% of the 1,999,725 shares of Class B-1 Units sold directly by QuoteLab Holdings, Inc. Mr. Yi is the indirect holder of 35% of the voting interests and economic interests in QuoteLab Holdings, Inc.
  7. Represents grant of restricted stock units under the Issuer's Omnibus Incentive Plan granted in connection with the IPO, effective as of October 30, 2020.
  8. The restricted stock units will vest quarterly over the first three years following the date of grant, subject to continued employment with the Issuer through each vesting date.
  9. Each restricted stock unit represents a contingent right to receive one share of Class A Common Stock.