MediaAlpha Inc.

11/18/2024 | Press release | Distributed by Public on 11/18/2024 18:23

Statement of Changes in Beneficial Ownership - Form 4

Ownership Submission
FORM 4
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
Check this box to indicate that a transaction was made pursuant to a contract, instruction or written plan that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10.
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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(Print or Type Responses)
1. Name and Address of Reporting Person *
COYNE JEFFREY B
2. Issuer Name and Ticker or Trading Symbol
MediaAlpha, Inc. [MAX]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner
__X__ Officer (give title below) _____ Other (specify below)
GENERAL COUNSEL AND SECRETARY
(Last) (First) (Middle)
C/O MEDIAALPHA, INC., 700 SOUTH FLOWER STREET, SUITE 640
3. Date of Earliest Transaction (Month/Day/Year)
11/15/2024
(Street)
LOS ANGELES, CA 90017
4. If Amendment, Date Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
_X_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)
7. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V Amount (A) or (D) Price
Class A Common Stock 11/15/2024 M 1,365 A $ 0 (1) 257,859 D
Class A Common Stock 11/15/2024 F 692(2) D $12.37 257,167 D
Class A Common Stock 11/15/2024 M 509 A $ 0 (1) 257,676 D
Class A Common Stock 11/15/2024 F 258(2) D $12.37 257,418 D
Class A Common Stock 11/15/2024 M 6,544 A $ 0 (1) 263,962 D
Class A Common Stock 11/15/2024 F 3,317(2) D $12.37 260,645 D
Class A Common Stock 11/15/2024 F 3,762(3) D $12.37 256,883 D
Class A Common Stock 11/15/2024 F 3,274(3) D $12.37 253,609 D
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. SEC 1474 (9-02)
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code
(Instr. 8)
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4, and 5)
6. Date Exercisable and Expiration Date
(Month/Day/Year)
7. Title and Amount of Underlying Securities
(Instr. 3 and 4)
8. Price of Derivative Security
(Instr. 5)
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 4)
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 4)
11. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Restricted Stock Units (4) 11/15/2024 M 1,365 (5) (5) Class A Common Stock 1,365 $ 0 2,732 D
Restricted Stock Units (6) 11/15/2024 M 509 (7) (7) Class A Common Stock 509 $ 0 1,529 D
Restricted Stock Units (8) 11/15/2024 M 6,544 (9) (9) Class A Common Stock 6,544 $ 0 32,719 D

Reporting Owners

Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
COYNE JEFFREY B
C/O MEDIAALPHA, INC.
700 SOUTH FLOWER STREET, SUITE 640
LOS ANGELES, CA 90017
GENERAL COUNSEL AND SECRETARY

Signatures

/s/ Jeffrey B. Coyne 11/18/2024
**Signature of Reporting Person Date

Explanation of Responses:

* If the form is filed by more than one reporting person, see Instruction 4(b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
(1) One share of Class A Common Stock was issued upon the vesting of each Restricted Stock Unit ("RSU").
(2) Represents shares withheld automatically by the Issuer to cover required tax withholding obligations due at settlement of RSUs.
(3) Represents shares withheld automatically by the Issuer to cover required tax withholding obligations due at settlement of restricted stock units previously reported in Table I as Class A Common Stock.
(4) Represents grant of RSUs under the Issuer's Omnibus Equity Incentive Plan granted May 5, 2021.
(5) One quarter of the RSUs vested on May 15, 2022 and the remainder will vest quarterly over the following three years, in each case subject to continued employment with the Issuer through each vesting date.
(6) Represents grant of RSUs under the Issuer's Omnibus Equity Incentive Plan granted August 15, 2021.
(7) One quarter of the RSUs vested on August 15, 2022 and the remainder will vest quarterly over the following three years, in each case subject to continued employment with the Issuer through each vesting date.
(8) Represents grant of RSUs under the Issuer's Omnibus Equity Incentive Plan granted March 15, 2022.
(9) One sixteenth of the RSUs vested on May 15, 2022 and the remainder will vest quarterly over the following four years, in each case subject to continued employment with the Issuer through each vesting date.
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB number.