Cort Allan Carlson - 02 Nov 2021 Form 3/A - Amendment Insider Report for MediaAlpha, Inc. (MAX)

Role
Officer
Signature
/s/ Lance Martinez, attorney-in-fact
Issuer symbol
MAX
Transactions as of
02 Nov 2021
Net transactions value
$0
Form type
3/A - Amendment
Filing time
24 Nov 2021, 14:03:27 UTC
Date Of Original Report
12 Nov 2021
Next filing
24 Nov 2021
SEC
View on sec.gov

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
holding MAX Class A Common Stock 41,000 02 Nov 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
holding MAX Restricted Stock Units 02 Nov 2021 Class A Common Stock 9,450 Direct F2
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Includes 31,351 shares of Class A Common Stock of MediaAlpha, Inc. (the "Issuer") issued to the Reporting Person pursuant to the Reorganization Agreement, dated October 27, 2020, among the Issuer, QL Holdings LLC ("QLH") and other parties named therein, pursuant to which the Reporting Person's equity interests in QLH were contributed to the Issuer in exchange for the same number of shares of Class A Common Stock of the Issuer, and which are subject to future vesting pursuant to the Reporting Person's award agreements. Approximately 922 of such shares will vest ratably each month through August 15, 2024, subject to the Reporting Person's continued employment with the Issuer through each vesting date.
F2 Consists of Restricted Stock Units ("RSUs") granted to the Reporting Person on February 22, 2021 pursuant to the Issuer's Omnibus Incentive Plan, which are unvested as of the date hereof. 675 of such RSUs will vest quarterly over the first four years following the date of grant, subject to continued employment with the Issuer through each vesting date.

Remarks:

Mr. Carlson was appointed as Interim Principal Financial and Accounting Officer of the Company on November 2, 2021. Exhibit 24 - Power of Attorney