0000950170-24-030143.txt : 20240312 0000950170-24-030143.hdr.sgml : 20240312 20240312172359 ACCESSION NUMBER: 0000950170-24-030143 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240312 FILED AS OF DATE: 20240312 DATE AS OF CHANGE: 20240312 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: 24743454 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: 24743456 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: 24743455 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: 24743452 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: 24743457 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: 24743453 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 2024-03-12 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 2024-03-12 4 S false 2950000 19.85 D 50000 I See Footnotes Insignia Capital Partners (Parallel A), L.P. ("Parallel A") and Insignia Capital Partners (AIV), L.P. ("Insignia AIV") are members of Insignia A QL Holdings, LLC ("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 Holdings, LLC ("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 1) 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. /s/ Tony Broglio, as Managing Member of Insignia Capital Partners GP, LLC 2024-03-12 /s/ Tony Broglio, as Managing Member of Insignia Capital Partners LP 2024-03-12 /s/ Tony Broglio, as Managing Member of Insignia Capital Partner (AIV), LP 2024-03-12 /s/ Tony Broglio, as Managing Member of Insignia Capital Partner (Parallel A), LP 2024-03-12 /s/ Tony Broglio, as President and Secretary of Insignia QL Holdings, LLC 2024-03-12 /s/ Tony Broglio, as President and Secretary of Insignia A QL Holdings, LLC 2024-03-12