0001818383-22-000013.txt : 20220214
0001818383-22-000013.hdr.sgml : 20220214
20220214213143
ACCESSION NUMBER: 0001818383-22-000013
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220130
FILED AS OF DATE: 20220214
DATE AS OF CHANGE: 20220214
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: 22636774
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_164489226585886.xml
FORM 4
X0306
4
2022-01-30
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
2022-01-30
4
M
0
1316
0
A
6579
D
Restricted Stock Units
0.0
2022-01-30
4
M
0
1316
0
D
Class A Common Stock
1316.0
9211
D
Restricted Stock Units
0.0
Class A Common Stock
8163.0
8163
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.
On October 14, 2021, the Reporting Person was granted 8,163 RSUs which shall vest in full on the earlier of (x) the one year anniversary of the date of grant and (y) the date of the Company's 2022 Annual Meeting of Stockholders.
/s/ Lance Martinez, attorney-in-fact
2022-02-14