Filing Details

Accession Number:
0001726978-21-000165
Form Type:
4
Zero Holdings:
No
Publication Time:
2021-08-26 19:08:30
Reporting Period:
2021-08-26
Accepted Time:
2021-08-26 19:08:30
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
1737258 C. Michael Colby C/O Goosehead Insurance, Inc.
1500 Solana Blvd., Building 4, Ste 4500
Westlake TX 76262
President And Coo 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 B Common Stock Disposition 2021-08-26 4,394 $0.00 621,732 No 4 C Indirect By Colby 2014 Family Trust
Class A Common Stock Acquisiton 2021-08-26 4,394 $0.00 87,796 No 4 C Indirect Colby 2014 Family Trust
Class A Common Stock Disposition 2021-08-26 4,394 $130.06 83,402 No 4 S Indirect Colby 2014 Family Trust
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 C Indirect By Colby 2014 Family Trust
No 4 C Indirect Colby 2014 Family Trust
No 4 S Indirect Colby 2014 Family Trust
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 2021-08-26 4,394 $0.00 4,394 $0.00
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
621,732 No 4 C Indirect
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Class B Common Stock 427,024 Direct
Class A Common Stock 23,131 Direct
Class B Common Stock 36,396 Indirect By Preston Michael Colby 2014 Trust
Class B Common Stock 36,396 Indirect By Lyla Kate Colby 2014 Trust
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 $0.00 427,024 427,024 Direct
Class A Common Stock LLC Units in Goosehead Financial, LLC $0.00 36,396 36,396 Indirect
Class A Common Stock LLC Units in Goosehead Financial, LLC $0.00 36,396 36,396 Indirect
Expiration Date Amount Remaning Holdings Nature of Ownership
427,024 427,024 Direct
36,396 36,396 Indirect
36,396 36,396 Indirect
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. 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.