Filing Details

Accession Number:
0001726978-22-000075
Form Type:
4
Zero Holdings:
No
Publication Time:
2022-05-19 15:38:42
Reporting Period:
2022-05-17
Accepted Time:
2022-05-19 15:38:42
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
1737782 Jr. E. Mark Jones C/O Goosehead Insurance, Inc.
1500 Solana Blvd., Bldg 4, Ste 4500
Westlake TX 76262
No 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 2022-05-17 10,000 $0.00 355,553 No 4 C Direct
Class A Common Stock Acquisiton 2022-05-17 10,000 $0.00 10,000 No 4 C Direct
Class A Common Stock Disposition 2022-05-17 10,000 $50.00 0 No 4 S Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 C Direct
No 4 C 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 LLC Units in Goosehead Financial, LLC Disposition 2022-05-17 10,000 $0.00 10,000 $0.00
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
355,553 No 4 C Direct
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Class B Common Stock 82,005 Indirect Jones 2020 Irrevocable 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 82,005 82,005 Indirect
Expiration Date Amount Remaning Holdings Nature of Ownership
82,005 82,005 Indirect
Footnotes
  1. 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.