Filing Details

Accession Number:
0001726978-20-000330
Form Type:
4
Zero Holdings:
No
Publication Time:
2020-10-14 18:54:49
Reporting Period:
2020-10-12
Accepted Time:
2020-10-14 18:54:49
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1726978 Goosehead Insurance Inc. GSHD Insurance Agents, Brokers & Service (6411) 000000000
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1737503 Elizabeth Mary Robyn Jones C/O Goosehead Insurance, Inc.
1500 Solana Blvd., Building 4, Ste 4500
Westlake TX 76262
Yes No Yes Yes
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Class B Common Stock Disposition 2020-10-12 31,688 $0.00 13,000,496 No 4 C Indirect By Trust
Class A Common Stock Acquisiton 2020-10-12 31,688 $0.00 31,688 No 4 C Indirect By Mark and Robyn Jones Descendants Trust 2014
Class A Common Stock Disposition 2020-10-12 31,688 $96.74 0 No 4 S Indirect By Mark and Robyn Jones Descendants Trust 2014
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 C Indirect By Trust
No 4 C Indirect By Mark and Robyn Jones Descendants Trust 2014
No 4 S Indirect By Mark and Robyn Jones Descendants Trust 2014
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Class A Common Stock LLC Units in Goosehead Financial, LLC Disposition 2020-10-12 31,688 $0.00 31,688 $0.00
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
13,000,496 No 4 C Indirect
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Class A Common Stock 333,790 Direct
Class B Common Stock 182,349 Direct
Reported Derivative Holdings
Sec. Name Sec. Type Price Date Expiration Date Amount Remaning Holdings Nature of Ownership
Class A Common Stock LLC Units in Goosehead Financial, LLC $0.00 182,349 182,349 Direct
Expiration Date Amount Remaning Holdings Nature of Ownership
182,349 182,349 Direct
Footnotes
  1. Reflects shares of Class A Common Stock, shares of Class B Common Stock or LLC Units, as applicable, held in trust for which the reporting person serves as a trustee and of which immediate family members of the reporting person are beneficiaries.
  2. This does not reflect shares directly held by the reporting person's spouse, who is independently a reporting person of the issuer.
  3. Each LLC Unit, together with a share of Class B common stock, may be converted by the holder into one share of Class A common stock at any time. The LLC Units do not expire.