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Perine Robert's Form 4 filing

MediaAlpha, Inc. (MAX) · filed Jul 2, 2021

Accession no.
0001818383-21-000017
Filed
Jul 2, 2021
Trade date
Jul 1, 2021
Filing delay
1 day
Rule 10b5-1 plan
Not on the form (before 2023)

This filing lists 2 non-derivative transactions and 1 derivative transaction. Open-market sales total $465.5K. It was filed 1 day after the trade.

Reporting owners

A Form 4 can have several reporting owners, such as a person and a fund they control. Trade tables show the first one.

Reporting owners on this filing
OwnerRelationship to the company
Perine RobertCIK 0001829945Officer (VICE PRESIDENT, PRODUCT)

Non-derivative securities (Table I)

Acquisitions and disposals of common stock and similar shares, one row per line on the filing.

Non-derivative transactions
Trade dateSecurityTransactionSharesPriceValueShares afterOwnershipFlags
Jul 1, 2021Class A Common StockMOption exerciseAcquired+24,000$0.00F1$035,214Direct
Jul 1, 2021Class A Common StockSSaleDisposed−11,214$41.51F3−$465,493.1424,000Direct

Derivative securities (Table II)

Options, warrants, restricted stock units and similar. Shares are the underlying shares; price and value are for the derivative itself, and the holding after is in derivative units.

Derivative transactions
Trade dateSecurityTransactionUnderlying sharesUnit priceValueHeld afterOwnershipFlags
Jul 1, 2021Class A Common StockMOption exerciseDisposed−24,000$0.00F1$087,119Direct

Footnotes and remarks

Livermore keeps the footnotes that transaction prices refer to, all footnotes of amendments (Form 4/A) and the filing's remarks. Other footnotes, such as how indirect holdings are held or the details of a trading plan, are only in the original on SEC EDGAR.

F1

On July 1, 2021, the Reporting Person exchanged 24,000 Class B-1 Units of QL Holdings LLC (the "Class B-1 Units"), along with 24,000 shares of Class B Common Stock (the "Class B Common Stock") for shares of Class A Common Stock on a one-for-one basis.

Referenced by the price of 1 transaction in Table I and 1 transaction in Table II.

F3

Reflects the weighted-average sale price for shares sold in multiple transactions at prices ranging from $40.91 to $41.86 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.

Referenced by the price of 1 transaction in Table I.

Read the full filing on SEC EDGAR (opens in a new tab)