0000899243-20-030233.txt : 20201103
0000899243-20-030233.hdr.sgml : 20201103
20201103164155
ACCESSION NUMBER: 0000899243-20-030233
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20201030
FILED AS OF DATE: 20201103
DATE AS OF CHANGE: 20201103
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: WHITE MOUNTAINS INSURANCE GROUP LTD
CENTRAL INDEX KEY: 0000776867
STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331]
STATE OF INCORPORATION: D0
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39671
FILM NUMBER: 201284034
BUSINESS ADDRESS:
STREET 1: 23 SOUTH MAIN STREET
STREET 2: SUITE 3B
CITY: HANOVER
STATE: NH
ZIP: 03755
BUSINESS PHONE: 603 640 2200
MAIL ADDRESS:
STREET 1: 23 SOUTH MAIN STREET
STREET 2: SUITE 3B
CITY: HANOVER
STATE: NH
ZIP: 03755
FORMER NAME:
FORMER CONFORMED NAME: WHITE MOUNTAINS INSURANCE GROUP INC
DATE OF NAME CHANGE: 19990603
FORMER NAME:
FORMER CONFORMED NAME: FUND AMERICAN ENTERPRISES HOLDINGS INC
DATE OF NAME CHANGE: 19920703
FORMER NAME:
FORMER CONFORMED NAME: FUND AMERICAN COMPANIES INC
DATE OF NAME CHANGE: 19920701
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: MediaAlpha, Inc.
CENTRAL INDEX KEY: 0001818383
STANDARD INDUSTRIAL CLASSIFICATION: INSURANCE CARRIERS, NEC [6399]
IRS NUMBER: 851854133
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 700 SOUTH FLOWER STREET
STREET 2: SUITE 640
CITY: LOS ANGELES
STATE: CA
ZIP: 90017
BUSINESS PHONE: 619-393-9368
MAIL ADDRESS:
STREET 1: 700 SOUTH FLOWER STREET
STREET 2: SUITE 640
CITY: LOS ANGELES
STATE: CA
ZIP: 90017
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2020-10-30
0
0001818383
MediaAlpha, Inc.
MAX
0000776867
WHITE MOUNTAINS INSURANCE GROUP LTD
23 SOUTH MAIN STREET, SUITE 3B
HANOVER
NH
03755
0
0
1
0
CLASS A COMMON STOCK
2020-10-30
4
S
0
3609894
19.00
D
20532202
I
See Footnote
On October 27, 2020, MediaAlpha, Inc. (the "Issuer") closed its initial public offering (the "IPO") of its shares of Class A common stock, par value $0.01 per share (the "Class A Common Stock"). In addition to the stock sold by the Issuer in the IPO, White Mountains Investments (Luxembourg) S.a r.l. sold 3,609,894 shares of Class A Common Stock as the selling stockholder at a price of $19.00 per share, which included 618,396 shares of Class A common stock sold pursuant to the option granted to the underwriters by the selling stockholder, which was exercised in full prior to the closing.
Includes 20,532,202 share of Class A Common Stock owned directly by White Mountains Investments (Luxembourg) S.a r.l. White Mountains Investments (Luxembourg) S.a r.l. is a wholly owned indirect subsidiary of White Mountains Insurance Group, Ltd. White Mountains Insurance Group, Ltd. has indirect pecuniary interest in the securities held by White Mountains Investments (Luxembourg) S.a r.l. Consequently, White Mountains Insurance Group, Ltd. is deemed to beneficially own the securities held directly by White Mountains Investments (Luxembourg) S.a r.l. The board of directors and senior officers of White Mountains Insurance Group, Ltd. disclaim beneficial ownership with respect to such securities.
Joint/Group Beneficial Owners:
Bridge Holdings (Bermuda) Ltd. - A.S. Cooper Building, 26 Reid Street, Hamilton HM 11 Bermuda (a wholly owned direct subsidiary of White Mountains Insurance Group, Ltd.)
WM International Holdings Ltd - 18 St. Swithin's Lane, London EC4N 8AD United Kingdom (a wholly owned direct subsidiary of Bridge Holdings (Bermuda) Ltd.)
White Mountains Investments (Luxembourg) S.a r.l. - 1, rue Hildegard von Bingen, L-1282 Luxembourg (a wholly owned direct subsidiary of WM International Holdings Ltd)
White Mountains Insurance Group, Ltd., by Robert L. Seelig, its EVP and General Counsel, /s/ Robert L. Seelig
2020-11-02
Bridge Holdings (Bermuda) Ltd., by Kevin M. Pearson, its Vice President, /s/ Kevin M. Pearson
2020-11-02
WM International Holdings Ltd, by Kevin M. Pearson, its Director, /s/ Kevin M. Pearson
2020-11-02
White Mountains Investments (Luxembourg) S.a r.l., Societe a responsabilite limitee, registered office: 1, rue Hildegard von Bingen, L-1282 Luxembourg, R.C.S. Luxembourg: B 167.137, by Manfred Schneider, its Manager, /s/ Manfred Schneider
2020-11-02