Robert Perine - Sep 1, 2021 Form 4 Insider Report for MediaAlpha, Inc. (MAX)

Role
VICE PRESIDENT, PRODUCT
Signature
/s/ Lance Martinez, attorney-in-fact
Stock symbol
MAX
Transactions as of
Sep 1, 2021
Transactions value $
$0
Form type
4
Date filed
9/3/2021, 06:23 PM
Previous filing
Aug 3, 2021
Next filing
Nov 3, 2021

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction MAX Class A Common Stock Options Exercise $0 +12K +59.37% $0.00 32.2K Sep 1, 2021 Direct F1

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Underlying Class Amount Exercise Price Ownership Footnotes
transaction MAX Class B-1 Units of QL Holdings LLC and Class B Common Stock Options Exercise $0 -12K -15.97% $0.00 63.1K Sep 1, 2021 Class A Common Stock 12K Direct F1, F2
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 On September 1, 2021, the Reporting Person exchanged 12,000 Class B-1 Units of QL Holdings LLC (the "Class B-1 Units"), along with 12,000 shares of Class B Common Stock (the "Class B Common Stock") for shares of Class A Common Stock on a one-for-one basis.
F2 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.