Form 4 for MAX MediaAlpha, Inc.
Accepted 2021-11-03 00:00:00 ET · period of report 2021-10-30 · accession 0001818383-21-000128 · 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| DM | 2021-11-03 | 2021-10-30+ | MAX | Sweetser Jeff | See Remarks | M - OptEx | $0.00 | +15.7K | 27.5K | +132% | $0 |
| DM | 2021-11-03 | 2021-10-30+ | MAX | Sweetser Jeff | See Remarks | M - OptEx | $0.00 | -15.7K | 87.8K | -15% | $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 | 2021-10-30 | M | A | 7,658 | $0.00 | 35,183 | D | — | — | (F2) One share of Class A Common Stock was issued upon the vesting of each Restricted Stock Unit ("RSU"). |
| 2 | Common | Class A Common Stock | 2021-11-01 | M | A | 8,000 | $0.00 | 27,525 | D | — | — | (F1) On November 1, 2021, the Reporting Person exchanged 8,000 Class B-1 Units of QLH (the "Class B-1 Units"), along with 8,000 shares of Class B Common Stock (the "Class B Common Stock") for shares of Class A Common Stock on a one-for-one basis. |
| 3 | Derivative | Restricted Stock Units | 2021-10-30 | M | D | 7,658 | $0.00 | 61,259 | D | $0.00 · — to — | 7,658 Class A Common Stock | (F4) Each RSU represents a contingent right to receive one share of Class A Common Stock, or at the option of the Compensation Committee, cash of equivalent value. (F5) On October 30, 2020, the Reporting Person was granted 91,888 RSUs, which have vested or will vest quarterly over the first three years following the date of grant, subject to continued employment with the Issuer through each vesting date. |
| 4 | Derivative | Class B-1 Units of QL Holdings LLC and Class B Common Stock | 2021-11-01 | M | D | 8,000 | $0.00 | 87,754 | D | — · — to — | 8,000 Class A Common Stock | (F1) On November 1, 2021, the Reporting Person exchanged 8,000 Class B-1 Units of QLH (the "Class B-1 Units"), along with 8,000 shares of Class B Common Stock (the "Class B Common Stock") for shares of Class A Common Stock on a one-for-one basis. (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. |