Filing Details
- Accession Number:
- 0001209191-21-042254
- Form Type:
- 4
- Zero Holdings:
- No
- Publication Time:
- 2021-06-21 19:02:06
- Reporting Period:
- 2021-06-17
- Accepted Time:
- 2021-06-21 19:02:06
- 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 |
---|---|---|---|---|---|---|---|
1829960 | Brian Mikalis | C/O Mediaalpha, Inc. 700 South Flower Street, Suite 640 Los Angeles CA 90017 | See Remarks | 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 | 2021-06-17 | 8,498 | $0.00 | 23,133 | No | 4 | C | Direct | |
Class A Common Stock | Disposition | 2021-06-21 | 12,924 | $40.96 | 10,209 | 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 | 2021-06-17 | 8,498 | $0.00 | 8,498 | $0.00 |
Remaning Holdings | Exercise Date | Expiration Date | Equity Swap Involved | Transaction Form Type | Transaction Code | Nature of Ownership |
---|---|---|---|---|---|---|
144,465 | No | 4 | C | Direct |
Footnotes
- On June 17, 2021, 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, the Reporting Person exchanged 8,498 Class B-1 Units of QLH (the "Class B-1 Units"), along with 8,498 shares of Class B Common Stock (the "Class B Common Stock") for shares of Class A Common Stock on a one-for-one basis.
- 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, subject to vesting conditions set forth in separate agreements.