0001818383-23-000143.txt : 20231116 0001818383-23-000143.hdr.sgml : 20231116 20231116195801 ACCESSION NUMBER: 0001818383-23-000143 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231115 FILED AS OF DATE: 20231116 DATE AS OF CHANGE: 20231116 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: COYNE JEFFREY B CENTRAL INDEX KEY: 0001213184 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39671 FILM NUMBER: 231416129 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MediaAlpha, Inc. CENTRAL INDEX KEY: 0001818383 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389] 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 wk-form4_1700182671.xml FORM 4 X0508 4 2023-11-15 0 0001818383 MediaAlpha, Inc. MAX 0001213184 COYNE JEFFREY B C/O MEDIAALPHA, INC. 700 SOUTH FLOWER STREET, SUITE 640 LOS ANGELES CA 90017 0 1 0 0 GENERAL COUNSEL AND SECRETARY 0 Class A Common Stock 2023-11-15 4 M 0 1366 0 A 150889 D Class A Common Stock 2023-11-15 4 F 0 473 9.56 D 150416 D Class A Common Stock 2023-11-15 4 M 0 509 0 A 150925 D Class A Common Stock 2023-11-15 4 F 0 177 9.56 D 150748 D Class A Common Stock 2023-11-15 4 M 0 6544 0 A 157292 D Class A Common Stock 2023-11-15 4 F 0 2263 9.56 D 155029 D Class A Common Stock 2023-11-15 4 F 0 2567 9.56 D 152462 D Restricted Stock Units 2023-11-15 4 M 0 1366 0 D Class A Common Stock 1366 8194 D Restricted Stock Units 2023-11-15 4 M 0 509 0 D Class A Common Stock 509 3566 D Restricted Stock Units 2023-11-15 4 M 0 6544 0 D Class A Common Stock 6544 58894 D One share of Class A Common Stock was issued upon the vesting of each Restricted Stock Unit ("RSU"). Represents shares withheld automatically by the Issuer to cover required tax withholding obligations due at settlement of RSUs. Represents shares withheld automatically by the Issuer to cover required tax withholding obligations due at settlement of restricted stock units previously reported in Table I as Class A Common Stock. Represents grant of RSUs under the Issuer's Omnibus Equity Incentive Plan granted May 5, 2021. One quarter of the RSUs vested on May 15, 2022 and the remainder will vest quarterly over the following three years, in each case subject to continued employment with the Issuer through each vesting date. Represents grant of RSUs under the Issuer's Omnibus Equity Incentive Plan granted August 15, 2021. One quarter of the RSUs vested on August 15, 2022 and the remainder will vest quarterly over the following three years, in each case subject to continued employment with the Issuer through each vesting date. Represents grant of RSUs under the Issuer's Omnibus Equity Incentive Plan granted March 15, 2022. One sixteenth of the RSUs vested on May 15, 2022 and the remainder will vest quarterly over the following four years, in each case subject to continued employment with the Issuer through each vesting date. /s/ Jeffrey B. Coyne 2023-11-16