Form 4 for MAX MediaAlpha, Inc.

Accepted 2021-07-02 00:00:00 ET · period of report 2021-07-01 · accession 0001818383-21-000014 · SEC index · Original document

Summary rows

Aggregated the way they appear in lists: one row per insider, transaction code and security table.

X	Filed	Traded	Ticker	Insider	Title	Type	Price	Qty	Owned	ΔOwn	Value
D	2021-07-02	2021-07-01	MAX	Sinanyan Tigran	See Remarks	M - OptEx	$0.00	+12.0K	23.1K	+108%	$0
D	2021-07-02	2021-07-01	MAX	Sinanyan Tigran	See Remarks	M - OptEx	$0.00	-12.0K	388.3K	-3%	$0

Purchase Sale Sale after option exercise All abbreviations

#	Table	Security	Date	Code	A/D	Shares	Price	Owned after	Own	Exercise / expiry	Underlying	Footnotes
1	Common	Class A Common Stock	2021-07-01	M	A	12,000	$0.00	23,122	D	—	—	(F1) On July 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.
2	Derivative	Class B-1 Units of QL Holdings LLC and Class B Common Stock	2021-07-01	M	D	12,000	$0.00	388,334	D	— · — to —	12,000 Class A Common Stock	(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. Pursuant to Mr. Sinanyan's award agreements, 25% of the equity granted will vest on the first anniversary of the vesting commencement date set forth in each agreement, and the remaining 75% of the equity will vest ratably each month over the following 36 months. (F1) On July 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.