Robert Perine - 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, 20:12:08 UTC
Prior SEC filing
03 Sep 2021
Source filing
View source filing
Reporting owner 1 detail
Reporting owner signature
/s/ Lance Martinez, attorney-in-fact

Key filing fact

Robert Perine filed Form 4 for MediaAlpha, Inc. (MAX) on 03 Nov 2021.

Key facts

  • This page summarizes Robert Perine's Form 4 filing for MediaAlpha, Inc. (MAX).
  • 2 reported transactions and 1 derivative row are listed below.
  • Accepted by SEC: 03 Nov 2021, 20:12.

Change

  • Previous filing in this sequence was filed on 03 Sep 2021.
  • Current net transaction value: $0.

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
+7,658
Change %
+24%
Price
$0.000000
Shares after
39,869
Date
30 Oct 2021
Ownership
Direct
Footnotes
F1

Reported derivative securities

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

MAX transaction Derivative

Restricted Stock Units

Options Exercise

Transaction value
$0
Shares
-7,658
Change %
-11%
Price
$0.000000
Shares after
61,259
Date
30 Oct 2021
Ownership
Direct
Underlying class
Class A Common Stock
Underlying amount
7,658
Exercise price
$0.000000
Footnotes
F2, F3
* marks a reported price that did not pass the local price check.

Additional SEC filing notes

Filing notes and footnotes

Explanation of responses 3 footnotes

Footnote F1

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

Footnote F2

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 F3

On October 30, 2020, the Reporting Person was granted 91,888 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.

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