Filing Details
- Accession Number:
- 0001726978-21-000074
- Form Type:
- 4
- Zero Holdings:
- No
- Publication Time:
- 2021-05-10 13:00:00
- Reporting Period:
- 2021-05-06
- Accepted Time:
- 2021-05-10 18:28:28
- 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 | 2021-05-06 | 34,054 | $0.00 | 12,578,002 | No | 4 | C | Indirect | By Trust |
| Class A Common Stock | Acquisiton | 2021-05-06 | 34,054 | $0.00 | 34,054 | No | 4 | C | Indirect | By Mark and Robyn Jones Descendants Trust 2014 |
| Class A Common Stock | Disposition | 2021-05-06 | 19,551 | $99.72 | 14,503 | No | 4 | S | Indirect | By Mark and Robyn Jones Descendants Trust 2014 |
| Class A Common Stock | Disposition | 2021-05-06 | 7,709 | $100.60 | 6,794 | No | 4 | S | Indirect | By Mark and Robyn Jones Descendants Trust 2014 |
| Class A Common Stock | Disposition | 2021-05-06 | 5,693 | $101.57 | 1,101 | No | 4 | S | Indirect | By Mark and Robyn Jones Descendants Trust 2014 |
| Class A Common Stock | Disposition | 2021-05-06 | 1,101 | $102.42 | 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 |
| No | 4 | S | Indirect | By Mark and Robyn Jones Descendants Trust 2014 |
| No | 4 | S | 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 | 2021-05-06 | 34,054 | $0.00 | 34,054 | $0.00 |
| Remaning Holdings | Exercise Date | Expiration Date | Equity Swap Involved | Transaction Form Type | Transaction Code | Nature of Ownership |
|---|---|---|---|---|---|---|
| 12,578,002 | 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
- 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.
- The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $99.10 to $100.10, inclusive. The reporting person undertakes to provide to the issuer, any security holder of the issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote to this Form 4.
- The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $100.11 to $101.10, inclusive. The reporting person undertakes to provide to the issuer, any security holder of the issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote to this Form 4.
- The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $101.14 to $102.05, inclusive. The reporting person undertakes to provide to the issuer, any security holder of the issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote to this Form 4.
- The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $102.20 to $102.77, inclusive. The reporting person undertakes to provide to the issuer, any security holder of the issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote to this Form 4.
- This does not reflect shares directly held by the reporting person's spouse, who is independently a reporting person of the issuer.
- 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.
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