Filing Details
- Accession Number:
- 0001209191-21-023019
- Form Type:
- 4
- Zero Holdings:
- No
- Publication Time:
- 2021-03-25 16:36:31
- Reporting Period:
- 2021-03-23
- Accepted Time:
- 2021-03-25 16:36:31
- 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 |
|---|---|---|---|---|---|---|---|
| 1829887 | Serge Topjian | C/O Mediaalpha, Inc. 700 South Flower Street, Suite 640 Los Angeles CA 90017 | Vice President, Media | No | 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 A Common Stock | Acquisiton | 2021-03-23 | 29,882 | $0.00 | 37,539 | No | 4 | C | Direct | |
| Class A Common Stock | Disposition | 2021-03-23 | 29,882 | $44.62 | 7,657 | No | 4 | S | Direct |
| Equity Swap Involved | Form Type | Code | Nature of Ownership | Explanation |
|---|---|---|---|---|
| No | 4 | C | Direct | |
| No | 4 | S | Direct |
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 and Class B Common Stock | Disposition | 2021-03-23 | 29,882 | $0.00 | 29,882 | $0.00 |
| Remaning Holdings | Exercise Date | Expiration Date | Equity Swap Involved | Transaction Form Type | Transaction Code | Nature of Ownership |
|---|---|---|---|---|---|---|
| 140,910 | No | 4 | C | Direct |
Footnotes
- On March 23, 2021, MediaAlpha, Inc. (the "Issuer") closed a secondary offering of its shares of Class A common stock, par value $0.01 per share (the "Class A Common Stock"). The Issuer did not offer any of its common stock in the offering and did not receive any proceeds from the offering.
- On March 23, 2021, Mr. Topijan exchanged 29,882 Class B-1 Units of QL Holdings LLC (the "Class B-1 Units"), along with 29,882 shares of Class B Common Stock (the "Class B Common Stock"), for shares of Class A Common Stock on a one-for-one basis.
- This amount represents the $46.00 secondary public offering price per share of Class A Common Stock, less the underwriting discount of $1.38 per share.
- Pursuant to the Exchange Agreement, dated October 27, 2020, among the Issuer, QL Holdings LLC ("QLH"), Guilford Holdings, Inc. and the Class B-1 members of QLH, each Class B-1 Unit, together with one share of Class B Common Stock, is exchangeable for one share of Class A Common Stock.
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