0000950170-24-026286.txt : 20240305 0000950170-24-026286.hdr.sgml : 20240305 20240305172359 ACCESSION NUMBER: 0000950170-24-026286 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240301 FILED AS OF DATE: 20240305 DATE AS OF CHANGE: 20240305 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Insignia Capital Partners (Parallel A), L.P. CENTRAL INDEX KEY: 0001586845 ORGANIZATION NAME: STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39671 FILM NUMBER: 24722427 BUSINESS ADDRESS: STREET 1: TWO WALNUT CREEK CENTER STREET 2: 200 PRINGLE AVENUE, SUITE 400 CITY: WALNUT CREEK STATE: CA ZIP: 94596 BUSINESS PHONE: (925)399-8900 MAIL ADDRESS: STREET 1: TWO WALNUT CREEK CENTER STREET 2: 200 PRINGLE AVENUE, SUITE 400 CITY: WALNUT CREEK STATE: CA ZIP: 94596 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Insignia Capital Partners, L.P. CENTRAL INDEX KEY: 0001586847 ORGANIZATION NAME: STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39671 FILM NUMBER: 24722429 BUSINESS ADDRESS: STREET 1: 1333 N. CALIFORNIA BLVD, SUITE 520 CITY: WALNUT CREEK STATE: CA ZIP: 94596 BUSINESS PHONE: (925) 399-8900 MAIL ADDRESS: STREET 1: 1333 N. CALIFORNIA BLVD, SUITE 520 CITY: WALNUT CREEK STATE: CA ZIP: 94596 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: INSIGNIA CAPITAL PARTNERS (AIV), L.P. CENTRAL INDEX KEY: 0001829472 ORGANIZATION NAME: STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39671 FILM NUMBER: 24722428 BUSINESS ADDRESS: STREET 1: 1333 NORTH CALIFORNIA BOULEVARD STREET 2: SUITE 520 CITY: WALNUT CREEK STATE: CA ZIP: 94596 BUSINESS PHONE: (925) 399-8900 MAIL ADDRESS: STREET 1: 1333 NORTH CALIFORNIA BOULEVARD STREET 2: SUITE 520 CITY: WALNUT CREEK STATE: CA ZIP: 94596 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: INSIGNIA A QL HOLDINGS, LLC CENTRAL INDEX KEY: 0001829476 ORGANIZATION NAME: STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39671 FILM NUMBER: 24722425 BUSINESS ADDRESS: STREET 1: 1333 NORTH CALIFORNIA BOULEVARD STREET 2: SUITE 520 CITY: WALNUT CREEK STATE: CA ZIP: 94596 BUSINESS PHONE: (925) 399-8900 MAIL ADDRESS: STREET 1: 1333 NORTH CALIFORNIA BOULEVARD STREET 2: SUITE 520 CITY: WALNUT CREEK STATE: CA ZIP: 94596 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: INSIGNIA CAPITAL PARTNERS GP, L.L.C. CENTRAL INDEX KEY: 0001829474 ORGANIZATION NAME: STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39671 FILM NUMBER: 24722430 BUSINESS ADDRESS: STREET 1: 1333 NORTH CALIFORNIA BOULEVARD STREET 2: SUITE 520 CITY: WALNUT CREEK STATE: CA ZIP: 94596 BUSINESS PHONE: (925) 399-8900 MAIL ADDRESS: STREET 1: 1333 NORTH CALIFORNIA BOULEVARD STREET 2: SUITE 520 CITY: WALNUT CREEK STATE: CA ZIP: 94596 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: INSIGNIA QL HOLDINGS, LLC CENTRAL INDEX KEY: 0001829475 ORGANIZATION NAME: STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39671 FILM NUMBER: 24722426 BUSINESS ADDRESS: STREET 1: 1333 NORTH CALIFORNIA BOULEVARD STREET 2: SUITE 520 CITY: WALNUT CREEK STATE: CA ZIP: 94596 BUSINESS PHONE: (925) 399-8900 MAIL ADDRESS: STREET 1: 1333 NORTH CALIFORNIA BOULEVARD STREET 2: SUITE 520 CITY: WALNUT CREEK STATE: CA ZIP: 94596 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MediaAlpha, Inc. CENTRAL INDEX KEY: 0001818383 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389] ORGANIZATION NAME: 07 Trade & Services IRS NUMBER: 851854133 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 700 SOUTH FLOWER STREET STREET 2: SUITE 640 CITY: LOS ANGELES STATE: CA ZIP: 90017 BUSINESS PHONE: 619-393-9368 MAIL ADDRESS: STREET 1: 700 SOUTH FLOWER STREET STREET 2: SUITE 640 CITY: LOS ANGELES STATE: CA ZIP: 90017 4 1 ownership.xml 4 X0508 4 2024-03-01 false 0001818383 MediaAlpha, Inc. MAX 0001829474 INSIGNIA CAPITAL PARTNERS GP, L.L.C. 1333 NORTH CALIFORNIA BOULEVARD, STE 520 WALNUT CREEK CA 94596 false false true false 0001586847 Insignia Capital Partners, L.P. 1333 NORTH CALIFORNIA BOULEVARD, STE 520 WALNUT CREEK CA 94596 false false true false 0001829472 INSIGNIA CAPITAL PARTNERS (AIV), L.P. 1333 NORTH CALIFORNIA BOULEVARD, STE 520 WALNUT CREEK CA 94596 false false true false 0001586845 Insignia Capital Partners (Parallel A), L.P. 1333 NORTH CALIFORNIA BOULEVARD, STE 520 WALNUT CREEK CA 94596 false false true false 0001829475 INSIGNIA QL HOLDINGS, LLC 1333 NORTH CALIFORNIA BOULEVARD, STE 520 WALNUT CREEK CA 94596 false false true false 0001829476 INSIGNIA A QL HOLDINGS, LLC 1333 NORTH CALIFORNIA BOULEVARD, STE 520 WALNUT CREEK CA 94596 false false true false false Class A Common Stock 2024-03-01 4 C false 3000000 A 3000000 I See Footnote Class B Common Stock 2024-03-01 4 J false 3000000 D 5774694 I See Footnote Class B-1 Units 0.00 2024-03-01 4 C false 3000000 0.00 D Class A Common Stock 3000000 5774694 I See Footnote Reflects the exchange (the "Exchange") of 1,676,591 and 1,323,409 Class B-1 Units of QL Holdings, LLC (the "LLC") held directly by Insignia QL Holdings, LLC ("Insignia QL") and Insignia A QL Holdings, LLC ("Insignia A"), respectively, into an equal number of shares of the Issuer's Class A Common Stock ("Class A Shares"), pursuant to the Exchange Agreement, dated October 27, 2020, by and among the Issuer, the LLC and the members of the LLC (the "Exchange Agreement"). In connection with the Exchange, the Reporting Persons forfeited for no consideration an equal number of shares of the Issuer's Class B Common Stock ("Class B Shares"). Insignia Capital Partners (Parallel A), L.P. ("Parallel A") and Insignia Capital Partners (AIV), L.P. ("Insignia AIV") are members of Insignia A having the power to appoint the majority of the board of managers of Insignia A. Insignia Capital Partners, L.P. ("Insignia Capital" and together with Parallel A and Insignia AIV, the "Insignia Fund") is the managing member of Insignia QL. Insignia Capital Partners GP, LLC ("Insignia GP") is the general partner of the Insignia Fund. The three member Investment Committee of Insignia GP comprised of David Lowe, Anthony Broglio and Melvyn Deane exercises voting and investment control over the securities held directly by Insignia A and Insignia QL, which acts by a majority vote of its members. Consequently, (Continued from footnote 2) the Insignia Fund and Insignia GP may be deemed to beneficially own the securities held directly by Insignia A and Insignia QL. Messrs. Lowe, Broglio and Deane disclaim beneficial ownership of the securities held directly by Insignia A and Insignia QL. Includes 2,547,428 Class B Shares held directly by Insignia A and 3,227,266 Class B Shares held directly by Insignia QL. Pursuant to the Exchange Agreement, Class B-1 Units of the LLC (together with one Class B Share of the Issuer for every Class B-1 Unit) are exchangeable at any time for one Class A Share. Class B-1 Units of the LLC do not expire. Includes 2,547,428 Class B-1 Units of the LLC held directly by Insignia A and 3,227,266 Class B-1 Units of the LLC held directly by Insignia QL. /s/ Tony Broglio, as Managing Member of Insignia Capital Partners GP, LLC 2024-03-05 /s/ Tony Broglio, as Managing Member of Insignia Capital Partners LP 2024-03-05 /s/ Tony Broglio, as Managing Member of Insignia Capital Partner (AIV), LP 2024-03-05 /s/ Tony Broglio, as Managing Member of Insignia Capital Partner (Parallel A), LP 2024-03-05 /s/ Tony Broglio, as President and Secretary of Insignia QL Holdings, LLC 2024-03-05 /s/ Tony Broglio, as President and Secretary of Insignia A QL Holdings, LLC 2024-03-05