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