0001818383-21-000097.txt : 20210903
0001818383-21-000097.hdr.sgml : 20210903
20210903182404
ACCESSION NUMBER: 0001818383-21-000097
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210901
FILED AS OF DATE: 20210903
DATE AS OF CHANGE: 20210903
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Sweetser Jeff
CENTRAL INDEX KEY: 0001830019
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39671
FILM NUMBER: 211237775
MAIL ADDRESS:
STREET 1: 700 SOUTH FLOWER STREET
STREET 2: SUITE 640
CITY: LOS ANGELES
STATE: CA
ZIP: 90017
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_163070782853628.xml
FORM 4
X0306
4
2021-09-01
0
0001818383
MediaAlpha, Inc.
MAX
0001830019
Sweetser Jeff
C/O MEDIAALPHA, INC.
700 SOUTH FLOWER STREET, SUITE 640
LOS ANGELES
CA
90017
0
1
0
0
See Remarks
Class A Common Stock
2021-09-01
4
M
0
8000
0
A
27525
D
Class A Common Stock
2021-09-03
4
S
0
8000
22.3647
D
19525
D
Class B-1 Units of QL Holdings LLC and Class B Common Stock
2021-09-01
4
M
0
8000
0
D
Class A Common Stock
8000.0
103754
D
On September 1, 2021, the Reporting Person exchanged 8,000 Class B-1 Units of QLH (the "Class B-1 Units"), along with 8,000 shares of Class B Common Stock (the "Class B Common Stock") for shares of Class A Common Stock on a one-for-one basis.
The sales reported on this Form 4 were effected pursuant to a Rule 10b5-1 trading plan previously adopted by the Reporting Person.
Reflects the weighted-average sale price for shares sold in multiple transactions at prices ranging from $22.03 to $22.81 per share. The Reporting Person undertakes to provide upon request by the Securities and Exchange Commission staff, the issuer, or a security holder of the issuer, full information regarding the number of shares sold at each separate price.
Pursuant to the Exchange Agreement, dated October 27, 2020, among the Issuer, QL Holdings LLC (QLH), Guilford Holdings, Inc. and the Class B-1 members of QLH, each Class B-1 Unit, together with one share of Class B Common Stock, is exchangeable for one share of Class A Common Stock, subject to vesting conditions set forth in separate agreements.
VICE PRESIDENT, SUPPLY PARTNERSHIPS
/s/ Lance Martinez, attorney-in-fact
2021-09-03