0001818383-21-000062.txt : 20210803 0001818383-21-000062.hdr.sgml : 20210803 20210803200755 ACCESSION NUMBER: 0001818383-21-000062 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210730 FILED AS OF DATE: 20210803 DATE AS OF CHANGE: 20210803 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: 211141814 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 wf-form4_162803562617093.xml FORM 4 X0306 4 2021-07-30 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 2021-07-30 4 M 0 1316 0 A 3947 D Restricted Stock Units 0.0 2021-07-30 4 M 0 1316 0 D Class A Common Stock 1316.0 11843 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 2021-08-03