Form 4 for MAX MediaAlpha, Inc.
Accepted 2021-09-03 00:00:00 ET · period of report 2021-09-01 · accession 0001818383-21-000095 · 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 | 2021-09-03 | 2021-09-01 | MAX | Topjian Serge | VP, MEDIA | M - OptEx | $0.00 | +10.0K | 17.4K | +135% | $0 |
| D | 2021-09-03 | 2021-09-01 | MAX | Topjian Serge | VP, MEDIA | M - OptEx | $0.00 | -10.0K | 110.9K | -8% | $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 | 2021-09-01 | M | A | 10,000 | $0.00 | 17,414 | D | — | — | (F1) On September 1, 2021, the Reporting Person exchanged 10,000 Class B-1 Units of QL Holdings LLC (the "Class B-1 Units"), along with 10,000 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 | 2021-09-01 | M | D | 10,000 | $0.00 | 110,910 | D | — · — to — | 10,000 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. (F1) On September 1, 2021, the Reporting Person exchanged 10,000 Class B-1 Units of QL Holdings LLC (the "Class B-1 Units"), along with 10,000 shares of Class B Common Stock (the "Class B Common Stock") for shares of Class A Common Stock on a one-for-one basis. |