0001818383-22-000082.txt : 20220517 0001818383-22-000082.hdr.sgml : 20220517 20220517184957 ACCESSION NUMBER: 0001818383-22-000082 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220515 FILED AS OF DATE: 20220517 DATE AS OF CHANGE: 20220517 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Nonko Eugene CENTRAL INDEX KEY: 0001830016 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39671 FILM NUMBER: 22936423 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_165282776973276.xml FORM 4 X0306 4 2022-05-15 0 0001818383 MediaAlpha, Inc. MAX 0001830016 Nonko Eugene C/O MEDIAALPHA, INC. 700 SOUTH FLOWER STREET, SUITE 640 LOS ANGELES CA 90017 1 1 0 0 See Remarks Class A Common Stock 2022-05-15 4 M 0 18293 0 A 680319 D Restricted Stock Units 2022-05-15 4 M 0 18293 0 D Class A Common Stock 18293.0 274407 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. One sixteenth of the RSUs will vest on May 15, 2022 and the remainder will vest in equal quarterly installments through February 15, 2026, in each case subject to continued employment with the Issuer through each vesting date. CHIEF TECHNOLOGY OFFICER AND CO-FOUNDER /s/ Lance Martinez, attorney-in-fact 2022-05-17