0001818383-23-000145.txt : 20231116
0001818383-23-000145.hdr.sgml : 20231116
20231116195857
ACCESSION NUMBER: 0001818383-23-000145
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20231115
FILED AS OF DATE: 20231116
DATE AS OF CHANGE: 20231116
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Thompson Patrick Ryan
CENTRAL INDEX KEY: 0001897386
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39671
FILM NUMBER: 231416131
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: SERVICES-BUSINESS SERVICES, NEC [7389]
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
wk-form4_1700182726.xml
FORM 4
X0508
4
2023-11-15
0
0001818383
MediaAlpha, Inc.
MAX
0001897386
Thompson Patrick Ryan
C/O MEDIAALPHA, INC.
700 SOUTH FLOWER STREET, SUITE 640
LOS ANGELES
CA
90017
0
1
0
0
See Remarks
0
Class A Common Stock
2023-11-15
4
M
0
9772
0
A
414215
D
Class A Common Stock
2023-11-15
4
F
0
3846
9.56
D
410369
D
Class A Common Stock
2023-11-15
4
F
0
5258
9.56
D
405111
D
Restricted Stock Units
2023-11-15
4
M
0
9772
0
D
Class A Common Stock
9772
78175
D
One share of Class A Common Stock was issued upon the vesting of each Restricted Stock Unit ("RSU").
Represents shares withheld automatically by the Issuer to cover required tax withholding obligations due at settlement of RSUs.
Represents shares withheld automatically by the Issuer to cover required tax withholding obligations due at settlement of restricted stock units previously reported in Table I as Class A Common Stock.
Consists of RSUs granted to the Reporting Person on December 6, 2021 pursuant to the Issuer's Omnibus Incentive Plan, each of which represents a contingent right to receive one share of the Issuer's Class A Common Stock, or at the option of the Compensation Committee, cash of equivalent value, upon vesting.
One quarter of such RSUs vested on November 15, 2022, and the remainder will vest quarterly through November 15, 2025, in each case subject to the Reporting Person's continued employment with the Issuer through the applicable vesting date.
Chief Financial Officer and Treasurer
/s/ Jeffrey B. Coyne
2023-11-16