Kuanling Amy Yeh - 17 Jun 2021 Form 4 Insider Report for MediaAlpha, Inc. (MAX)

Role
SENIOR VICE PRESIDENT, TECHNOLOGY
Signature
/s/ Lance Martinez, attorney-in-fact
Issuer symbol
MAX
Transactions as of
17 Jun 2021
Transactions value $
$0
Form type
4
Filing time
21 Jun 2021, 19:16:56 UTC
Previous filing
21 May 2021
Next filing
29 Jun 2021
SEC
View on sec.gov

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction MAX Class A Common Stock Conversion of derivative security $0 +9K +39.25% $0.00 31.9K 17 Jun 2021 Direct F1

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Underlying Class Amount Exercise Price Ownership Footnotes
transaction MAX Class B-1 Units of QL Holdings LLC and Class B Common Stock Conversion of derivative security $0 -9K -4.79% $0.00 179K 17 Jun 2021 Class A Common Stock 9K Direct F1, F2
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 On June 17, 2021, the Reporting Person exchanged 9,000 Class B-1 Units of QL Holdings LLC (the "Class B-1 Units"), along with 9,000 shares of Class B Common Stock (the "Class B Common Stock") for shares of Class A Common Stock on a one-for-one basis.
F2 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.

Remarks:

SENIOR VICE PRESIDENT, TECHNOLOGY