Cort Allan Carlson - Nov 15, 2021 Form 4/A - Amendment Insider Report for MediaAlpha, Inc. (MAX)

Signature
/s/ Lance Martinez, attorney-in-fact
Stock symbol
MAX
Transactions as of
Nov 15, 2021
Transactions value $
-$4,266
Form type
4/A - Amendment
Date filed
11/24/2021, 02:11 PM
Date Of Original Report
Nov 17, 2021
Previous filing
Nov 24, 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 +675 +1.65% $0.00 41.7K Nov 15, 2021 Direct F1
transaction MAX Class A Common Stock Tax liability -$4.27K -234 -0.56% $18.23 41.4K Nov 15, 2021 Direct F2

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 Restricted Stock Units Options Exercise $0 -675 -7.14% $0.00 8.78K Nov 15, 2021 Class A Common Stock 675 Direct F3, F4
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 One share of Class A Common Stock was issued upon the vesting of each Restricted Stock Unit ("RSU").
F2 Pursuant to the terms of the February 22, 2021 RSU grant, 234 shares of MediaAlpha, Inc. Class A Common Stock were automatically withheld at vesting to cover required tax withholding.
F3 Each RSU represents a contingent right to receive one share of Class A Common Stock, or at the option of the Compensation Committee, cash of equivalent value.
F4 Consists of Restricted Stock Units 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:

VP, Corporate Controller and Interim Principal Financial and Accounting Officer