Form 4 for MAX MediaAlpha, Inc.

Accepted 2021-11-17 00:00:00 ET · period of report 2021-11-15 · accession 0001818383-21-000162 · 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	2021-11-17	2021-11-15	MAX	Carlson Cort Allan	See Remarks	M - OptEx	$0.00	+675	39.2K	+2%	$0
D	2021-11-17	2021-11-15	MAX	Carlson Cort Allan	See Remarks	F - Tax	$18.23	-234	38.9K	-0.6%	-$4,266
D	2021-11-17	2021-11-15	MAX	Carlson Cort Allan	See Remarks	M - OptEx	$0.00	-675	8,775	-7%	$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	2021-11-15	M	A	675	$0.00	39,181	D	—	—	(F1) One share of Class A Common Stock was issued upon the vesting of each Restricted Stock Unit ("RSU").
2	Common	Class A Common Stock	2021-11-15	F	D	234	$18.23	38,947	D	—	—	(F2) Pursuant to the terms of the February 22, 2021 RSU grant, 234 shares of MediaAlpha, Inc. Class A Common Stock were automatically withheld at vesting to cover required tax withholding.
3	Derivative	Restricted Stock Units	2021-11-15	M	D	675	$0.00	8,775	D	— · — to —	675 Class A Common Stock	(F3) 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. (F4) Consists of Restricted Stock Units granted to the Reporting Person on February 22, 2021 pursuant to the Issuer's Omnibus Incentive Plan, which are unvested as of the date hereof. 675 of such RSUs will vest quarterly over the first four years following the date of grant, subject to continued employment with the Issuer through each vesting date.