MediaAlpha, Inc.·4

Sep 3, 6:23 PM ET

Perine Robert 4

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

Insider Transaction Report

Form 4
Period: 2021-09-01
Perine Robert
VICE PRESIDENT, PRODUCT
Transactions
  • Exercise/Conversion

    Class A Common Stock

    2021-09-01+12,00032,211 total
  • Exercise/Conversion

    Class B-1 Units of QL Holdings LLC and Class B Common Stock

    2021-09-0112,00063,119 total
    Class A Common Stock (12,000 underlying)
Footnotes (2)
  • [F1]On September 1, 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.
  • [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.

Documents

1 file
  • 4
    wf-form4_163070777015095.xmlPrimary

    FORM 4