Filing Details
- Accession Number:
- 0001818383-21-000098
- Form Type:
- 4
- Zero Holdings:
- No
- Publication Time:
- 2021-09-03 18:24:59
- Reporting Period:
- 2021-09-01
- Accepted Time:
- 2021-09-03 18:24:59
- 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 | Disposition | 2021-09-01 | 1,699 | $22.27 | 8,510 | No | 4 | S | Direct | |
Class A Common Stock | Acquisiton | 2021-09-01 | 4,249 | $0.00 | 12,759 | No | 4 | M | Direct |
Equity Swap Involved | Form Type | Code | Nature of Ownership | Explanation |
---|---|---|---|---|
No | 4 | S | Direct | |
No | 4 | M | 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 | 2021-09-01 | 4,249 | $0.00 | 4,249 | $0.00 |
Remaning Holdings | Exercise Date | Expiration Date | Equity Swap Involved | Transaction Form Type | Transaction Code | Nature of Ownership |
---|---|---|---|---|---|---|
131,718 | No | 4 | M | Direct |
Footnotes
- The sales reported on this Form 4 were effected pursuant to a Rule 10b5-1 trading plan previously adopted by the Reporting Person.
- On September 1, 2021, the Reporting Person exchanged 4,249 Class B-1 Units of QL Holdings LLC (the "Class B-1 Units"), along with 4,249 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.