Perine Robert 4

4 · MediaAlpha, Inc. · Filed Aug 3, 2021

Form 4

Period: 2021-07-30

VICE PRESIDENT, PRODUCT

Transactions

Exercise/Conversion
Class A Common Stock
2021-07-30+7,657→ 11,657 total
Exercise/Conversion
Class A Common Stock
2021-08-02+12,000→ 23,657 total
Sale
Class A Common Stock
2021-08-03$32.54/sh−3,446$112,133→ 20,211 total
Exercise/Conversion
Restricted Stock Units
2021-07-30−7,657→ 68,917 total
Exercise: $0.00→ Class A Common Stock (7,657 underlying)
Exercise/Conversion
Class B-1 Units of QL Holdings LLC and Class B Common Stock
2021-08-02−12,000→ 75,119 total
→ Class A Common Stock (12,000 underlying)

Footnotes (6)

[F1]One share of Class A Common Stock was issued upon the vesting of each Restricted Stock Unit ("RSU").
[F2]On August 2, 2021, the Reporting Person exchanged 12,000 Class B-1 Units of QL Holdings LLC (the "Class B-1 Units"), along with 12,000 shares of Class B Common Stock (the "Class B Common Stock") for shares of Class A Common Stock on a one-for-one basis.
[F3]The sales reported on this Form 4 were effected pursuant to a Rule 10b5-1 trading plan previously adopted by the Reporting Person.
[F4]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.
[F5]On October 30, 2020, the Reporting Person was granted 91,888 RSUs, which have vested or will vest quarterly over the first three years following the date of grant, subject to continued employment with the Issuer through each vesting date.
[F6]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.

Documents

1 file