0001209191-21-029737.txt : 20210504
0001209191-21-029737.hdr.sgml : 20210504
20210504133121
ACCESSION NUMBER: 0001209191-21-029737
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210430
FILED AS OF DATE: 20210504
DATE AS OF CHANGE: 20210504
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Sweet Lara
CENTRAL INDEX KEY: 0001623689
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39671
FILM NUMBER: 21887435
MAIL ADDRESS:
STREET 1: C/O SNAP INC.
STREET 2: 2772 DONALD DOUGLAS LOOP NORTH
CITY: SANTA MONICA
STATE: CA
ZIP: 90405
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: MediaAlpha, Inc.
CENTRAL INDEX KEY: 0001818383
STANDARD INDUSTRIAL CLASSIFICATION: INSURANCE CARRIERS, NEC [6399]
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
doc4.xml
FORM 4 SUBMISSION
X0306
4
2021-04-30
0
0001818383
MediaAlpha, Inc.
MAX
0001623689
Sweet Lara
C/O MEDIAALPHA, INC.
700 SOUTH FLOWER STREET, SUITE 640
LOS ANGELES
CA
90017
1
0
0
0
Class A Common Stock
2021-04-30
4
M
0
1316
0.00
A
2631
D
Restricted Stock Units
0.00
2021-04-30
4
M
0
1316
0.00
D
Class A Common Stock
1316
13159
D
One share of Class A Common Stock was issued upon the vesting of each Restricted Stock Unit ("RSU").
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.
On October 30, 2020, the Reporting Person was granted 15,790 RSUs in connection with the Reporting Person's appointment to the Issuer's board of directors, which have vested or will vest quarterly over the first three years following the date of grant, subject to continued service through the applicable vesting date.
/s/ Lance Martinez, attorney-in-fact for Sweet Lara
2021-05-04