Serge Topjian - 01 Sep 2021 Form 4 Insider Report for MediaAlpha, Inc. (MAX)

Signature
/s/ Lance Martinez, attorney-in-fact
Issuer symbol
MAX
Transactions as of
01 Sep 2021
Net transactions value
$0
Form type
4
Filing time
03 Sep 2021, 18:22:07 UTC
Previous filing
06 Aug 2021
Next filing
03 Nov 2021

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction MAX Class A Common Stock Options Exercise $0 +10,000 +135% $0.000000 17,414 01 Sep 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 Options Exercise $0 -10,000 -8.3% $0.000000 110,910 01 Sep 2021 Class A Common Stock 10,000 Direct F1, F2
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 On September 1, 2021, the Reporting Person exchanged 10,000 Class B-1 Units of QL Holdings LLC (the "Class B-1 Units"), along with 10,000 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.