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

Reporting relationship: VP, Corporate Controller and Interim Principal Financial and Accounting Officer
Issuer ticker: MAX
Reported as of: 15 Nov 2021
Net transaction value: -$4,266
SEC form: 4/A - Amendment
Accepted by SEC: 24 Nov 2021, 14:11:07 UTC
Original report date: 17 Nov 2021
Prior SEC filing: 24 Nov 2021
Source filing: View source filing
Reporting owner signature: /s/ Lance Martinez, attorney-in-fact

Key filing fact

Cort Allan Carlson filed Form 4/A - Amendment for MediaAlpha, Inc. (MAX) on 24 Nov 2021.

Key facts

This page summarizes Cort Allan Carlson's Form 4/A - Amendment filing for MediaAlpha, Inc. (MAX).
3 reported transactions and 1 derivative row are listed below.
Accepted by SEC: 24 Nov 2021, 14:11.

Change

Previous filing in this sequence was filed on 24 Nov 2021.
Current net transaction value: -$4,266.

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/A - Amendment 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: +675
Change %: +1.6%
Price: $0.000000
Shares after: 41,675
Date: 15 Nov 2021
Ownership: Direct
Footnotes: F1

MAX transaction

Class A Common Stock

Tax liability

Transaction value: $4,266
Shares: -234
Change %: -0.56%
Price: $18.23
Shares after: 41,441
Date: 15 Nov 2021
Ownership: Direct
Footnotes: F2

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: -675
Change %: -7.1%
Price: $0.000000
Shares after: 8,775
Date: 15 Nov 2021
Ownership: Direct
Underlying class: Class A Common Stock
Underlying amount: 675
Exercise price
Footnotes: F3, F4

^* marks a reported price that did not pass the local price check.

Additional SEC filing notes

Filing notes and footnotes

Explanation of responses 4 footnotes

Footnote F1

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

Footnote 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.

Footnote 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.

Footnote 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.

SEC remarks

VP, Corporate Controller and Interim Principal Financial and Accounting Officer