0001818383-23-000089.txt : 20230522 0001818383-23-000089.hdr.sgml : 20230522 20230522174322 ACCESSION NUMBER: 0001818383-23-000089 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230519 FILED AS OF DATE: 20230522 DATE AS OF CHANGE: 20230522 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Arasu Venmal (Raji) CENTRAL INDEX KEY: 0001641435 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39671 FILM NUMBER: 23945870 MAIL ADDRESS: STREET 1: 25501 WEST VALLEY PARKWAY STREET 2: SUITE 300 CITY: OLATHE STATE: KS ZIP: 66061 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 wf-form4_168479178175248.xml FORM 4 X0407 4 2023-05-19 0 0001818383 MediaAlpha, Inc. MAX 0001641435 Arasu Venmal (Raji) C/O MEDIAALPHA, INC. 700 SOUTH FLOWER STREET, SUITE 640 LOS ANGELES CA 90017 1 0 0 0 0 Class A Common Stock 2023-05-19 4 A 0 25547 0 A 64075 D Consists of restricted stock units granted to the Reporting Person under the Issuer's Omnibus Incentive Plan, in connection with the Reporting Person's service on the Issuer's board of directors. Each restricted stock unit represents a contingent right to receive one share of Class A Common Stock upon vesting. All such restricted stock units will vest on the earlier of the first anniversary of the grant date or the date of the Issuer's 2024 Annual Meeting, subject to the Reporting Person's continued service through the applicable vesting date. /s/ Jeffrey B. Coyne 2023-05-22