Form 4 for MAX MediaAlpha, Inc.
Accepted 2021-07-02 00:00:00 ET · period of report 2021-07-01 · accession 0001818383-21-000017 · 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 | Perine Robert | VP, PRODUCT | M - OptEx | $0.00 | +24.0K | 35.2K | +214% | $0 |
| D | 2021-07-02 | 2021-07-01 | MAX | Perine Robert | VP, PRODUCT | S - Sale+OE | $41.51 | -11.2K | 24.0K | -32% | -$465.5K |
| D | 2021-07-02 | 2021-07-01 | MAX | Perine Robert | VP, PRODUCT | M - OptEx | $0.00 | -24.0K | 87.1K | -22% | $0 |
Purchase Sale Sale after option exercise All abbreviations
Every reported transaction
| # | 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 | 24,000 | $0.00 | 35,214 | D | — | — | (F1) On July 1, 2021, the Reporting Person exchanged 24,000 Class B-1 Units of QL Holdings LLC (the "Class B-1 Units"), along with 24,000 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 | Common | Class A Common Stock | 2021-07-01 | S | D | 11,214 | $41.51 | 24,000 | D | — | — | (F3) Reflects the weighted-average sale price for shares sold in multiple transactions at prices ranging from $40.91 to $41.86 per share. The Reporting Person undertakes to provide upon request by the Securities and Exchange Commission staff, the issuer, or a security holder of the issuer, full information regarding the number of shares sold at each separate price. |
| 3 | Derivative | Class B-1 Units of QL Holdings LLC and Class B Common Stock | 2021-07-01 | M | D | 24,000 | $0.00 | 87,119 | D | — · — to — | 24,000 Class A Common Stock | (F1) On July 1, 2021, the Reporting Person exchanged 24,000 Class B-1 Units of QL Holdings LLC (the "Class B-1 Units"), along with 24,000 shares of Class B Common Stock (the "Class B Common Stock") for shares of Class A Common Stock on a one-for-one basis. (F4) 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. |