11/18/2024 | Press release | Distributed by Public on 11/18/2024 18:23
FORM 4
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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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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) |
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) |
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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 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 |
/s/ Jeffrey B. Coyne | 11/18/2024 |
**Signature of Reporting Person | Date |
* | 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. |