Brian Mikalis - 30 Oct 2021 Form 4 Insider Report for MediaAlpha, Inc. (MAX)

Source evidence Original filing metadata and source links for verification. 4 source fields
SEC form
4
Accepted by SEC
03 Nov 2021, 20:08:17 UTC
Prior SEC filing
01 Oct 2021
Source filing
View source filing
Reporting owner 1 detail
Reporting owner signature
/s/ Lance Martinez, attorney-in-fact

Key filing fact

Brian Mikalis filed Form 4 for MediaAlpha, Inc. (MAX) on 03 Nov 2021.

Key facts

  • This page summarizes Brian Mikalis's Form 4 filing for MediaAlpha, Inc. (MAX).
  • 5 reported transactions and 2 derivative rows are listed below.
  • Accepted by SEC: 03 Nov 2021, 20:08.

Change

  • Previous filing in this sequence was filed on 01 Oct 2021.
  • Current net transaction value: -$96,807.

Research use

  • This tells you what this filing adds before you inspect full transaction and derivative tables.
  • You can trace every row back to the original SEC filing document.

Evidence

Filed on Form 4

Ownership activity is grounded in SEC Form 4 disclosures.

View source filing

Reported non-derivative transactions

Shares, units, or other non-derivative securities reported in this filing.

MAX transaction

Class A Common Stock

Options Exercise

Transaction value
$0
Shares
+848
Change %
+7.7%
Price
$0.000000
Shares after
11,908
Date
01 Nov 2021
Ownership
Direct
Footnotes
F1
MAX transaction

Class A Common Stock

Options Exercise

Transaction value
$0
Shares
+10,210
Change %
+86%
Price
$0.000000
Shares after
22,118
Date
30 Oct 2021
Ownership
Direct
Footnotes
F2
MAX transaction

Class A Common Stock

Sale

Transaction value
$96,807
Shares
-5,783
Change %
-26%
Price
$16.74
Shares after
16,335
Date
02 Nov 2021
Ownership
Direct
Footnotes
F3

Reported derivative securities

Options, warrants, convertible securities, or similar derivative positions disclosed in the filing.

MAX transaction Derivative

Class B-1 Units of QL Holdings LLC and Class B Common Stock

Options Exercise

Transaction value
$0
Shares
-848
Change %
-0.64%
Price
$0.000000
Shares after
130,870
Date
01 Nov 2021
Ownership
Direct
Underlying class
Class A Common Stock
Underlying amount
848
Exercise price
Footnotes
F2, F4
MAX transaction Derivative

Restricted Stock Units

Options Exercise

Transaction value
$0
Shares
-10,210
Change %
-11%
Price
$0.000000
Shares after
81,679
Date
30 Oct 2021
Ownership
Direct
Underlying class
Class A Common Stock
Underlying amount
10,210
Exercise price
$0.000000
Footnotes
F5, F6
* marks a reported price that did not pass the local price check.

Additional SEC filing notes

Filing notes and footnotes

Explanation of responses 6 footnotes

Footnote F1

One share of Class A Common Stock was issued upon the vesting of each Restricted Stock Unit ("RSU").

Footnote F2

On November 1, 2021, the Reporting Person exchanged 848 Class B-1 Units of QL Holdings LLC (the "Class B-1 Units"), along with 848 shares of Class B Common Stock (the "Class B Common Stock") for shares of Class A Common Stock on a one-for-one basis.

Footnote F3

The sales reported on this Form 4 were effected pursuant to a Rule 10b5-1 trading plan previously adopted by the Reporting Person.

Footnote F4

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.

Footnote F5

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.

Footnote F6

On October 30, 2020, the Reporting Person was granted 122,518 RSUs, which have vested or will vest quarterly over the first three years following the date of grant, subject to continued employment with the Issuer through each vesting date.

SEC remarks

SENIOR VICE PRESIDENT, DEMAND PARTNERSHIPS

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