Form 4 for MAX MediaAlpha, Inc.

Accepted 2021-09-03 00:00:00 ET · period of report 2021-09-01 · accession 0001818383-21-000098 · 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	Mikalis Brian	See Remarks	M - OptEx	$0.00	+4,249	12.8K	+50%	$0
D	2021-09-03	2021-09-01	MAX	Mikalis Brian	See Remarks	S - Sale+OE	$22.27	-1,699	8,510	-17%	-$37.8K
D	2021-09-03	2021-09-01	MAX	Mikalis Brian	See Remarks	M - OptEx	$0.00	-4,249	131.7K	-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	2021-09-01	M	A	4,249	$0.00	12,759	D	—	—	(F2) On September 1, 2021, the Reporting Person exchanged 4,249 Class B-1 Units of QL Holdings LLC (the "Class B-1 Units"), along with 4,249 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	2021-09-01	S	D	1,699	$22.27	8,510	D	—	—
3	Derivative	Class B-1 Units of QL Holdings LLC and Class B Common Stock	2021-09-01	M	D	4,249	$0.00	131,718	D	— · — to —	4,249 Class A Common Stock	(F2) On September 1, 2021, the Reporting Person exchanged 4,249 Class B-1 Units of QL Holdings LLC (the "Class B-1 Units"), along with 4,249 shares of Class B Common Stock (the "Class B Common Stock") for shares of Class A Common Stock on a one-for-one basis. (F3) 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.