Filing Details

Accession Number:
0001726978-21-000008
Form Type:
4
Zero Holdings:
No
Publication Time:
2021-01-06 16:35:21
Reporting Period:
2021-01-04
Accepted Time:
2021-01-06 16:35:21
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
1736850 Gary Delavan 1500 Solana Blvd
Building 4, Suite 4500
Westlake TX 76262
Vp Of Corporate Sales No Yes No No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Class A Common Stock Acquisiton 2021-01-04 700 $10.00 700 No 4 M Direct
Class A Common Stock Disposition 2021-01-04 700 $130.58 0 No 4 S Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 M Direct
No 4 S Direct
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Class A Common Stock Employee Stock Options (right to buy) Disposition 2021-01-04 700 $0.00 700 $10.00
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
54,300 2028-04-26 No 4 M Direct
Footnotes
  1. One third (1/3rd) of the shares subject to the option shall vest and become exercisable, subject to continued employment, on each of the second, third and fourth anniversaries of the grant date; provided, that all shares subject to the option will vest and become exercisable if Mr. Delavan's employment is terminated without "cause" or for "good reason" (each as defined in either Mr. Delavan's option award agreement or the Issuer's Amended and Restated Omnibus Incentive Plan) within six month following a "change in control" (as defined in the Issuer's Amended and Restated Omnibus Incentive Plan).