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Form 3 - Initial statement of beneficial ownership of securities:
SEC Accession No. 0001818383-21-000160
Filing Date
2021-11-12
Accepted
2021-11-12 20:42:05
Documents
3
Period of Report
2021-11-02

Document Format Files

Seq Description Document Type Size
1 FORM 3 wf-form3_163676770465128.html 3  
1 FORM 3 wf-form3_163676770465128.xml 3 4533
2 POWER OF ATTORNEY - CCARLSON poa-cortcarlson.htm EX-24 631
3 POWER OF ATTORNEY - CCARLSON poa-cortcarlson001.jpg GRAPHIC 189980
  Complete submission text file 0001818383-21-000160.txt   268357
Mailing Address 700 SOUTH FLOWER STREET SUITE 640 LOS ANGELES CA 90017
Business Address 700 SOUTH FLOWER STREET SUITE 640 LOS ANGELES CA 90017 619-393-9368
MediaAlpha, Inc. (Issuer) CIK: 0001818383 (see all company filings)

IRS No.: 851854133 | State of Incorp.: DE | Fiscal Year End: 1231
SIC: 6399 Insurance Carriers, NEC

Mailing Address 700 SOUTH FLOWER STREET SUITE 640 LOS ANGELES CA 90017
Business Address
Carlson Cort Allan (Reporting) CIK: 0001892671 (see all company filings)

Type: 3 | Act: 34 | File No.: 001-39671 | Film No.: 211405791