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Filing Details

Accession Number:: 0001209191-21-023021
Form Type:: 4
Zero Holdings:: No
Publication Time:: 2021-03-25 16:38:17
Reporting Period:: 2021-03-23

Accepted Time:: 2021-03-25 16:38:17
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
1829885	Ambrose Wang	C/O Mediaalpha, Inc. 700 South Flower Street, Suite 640 Los Angeles CA 90017	Co-Founder	No	Yes	No	No

Reported Non-Derivative Transactions

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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	427,242	$0.00	427,242	No	4	C	Indirect	By Wang Family Investments, LLC
Class A Common Stock	Disposition	2021-03-23	427,242	$44.62	0	No	4	S	Indirect	By Wang Family Investments, LLC
Class A Common Stock	Acquisiton	2021-03-23	169,735	$0.00	169,735	No	4	C	Indirect	By QuoteLab Holdings, Inc.
Class A Common Stock	Disposition	2021-03-23	169,735	$44.62	0	No	4	S	Indirect	By QuoteLab Holdings, Inc.

Equity Swap Involved	Form Type	Code	Nature of Ownership	Explanation
No	4	C	Indirect	By Wang Family Investments, LLC
No	4	S	Indirect	By Wang Family Investments, LLC
No	4	C	Indirect	By QuoteLab Holdings, Inc.
No	4	S	Indirect	By QuoteLab Holdings, Inc.

Reported Derivative Transactions

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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	427,242	$0.00	427,242	$0.00
Class A Common Stock	Class B-1 Units of QL Holdings LLC and Class B Common Stock	Disposition	2021-03-23	169,735	$0.00	169,735	$0.00

Remaning Holdings	Exercise Date	Expiration Date	Equity Swap Involved	Transaction Form Type	Transaction Code	Nature of Ownership
2,815,206			No	4	C	Indirect
0			No	4	C	Indirect

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, Wang Family Investments, LLC exchanged 427,242 Class B-1 Units of QL Holdings LLC (the "Class B-1 Units"), along with 427,242 shares of Class B Common Stock (the "Class B Common Stock"), for shares of Class A Common Stock on a one-for-one basis and QuoteLab Holdings, Inc. exchanged 565,783 Class B-1 Units, along with 565,783 shares of Class B Common Stock, for shares of Class A Common Stock on a one-for-one basis.
Reflects shares of Class B-1 Units held directly by Wang Family Investments LLC. Mr. Wang is the managing member and Wang Family Investments LLC is owned by Mr. Wang and his immediate family.
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.
Reflects 30% of the 565,783 shares of Class B-1 Units sold directly by QuoteLab Holdings, Inc. Mr. Wang is the indirect holder of 30% of the voting interests and economic interests in QuoteLab Holdings, Inc.
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.