Filing Details
- Accession Number:
- 0001726978-23-000156
- Form Type:
- 4
- Zero Holdings:
- No
- Publication Time:
- 2023-11-22 17:35:38
- Reporting Period:
- 2023-11-20
- Accepted Time:
- 2023-11-22 17:35:38
- 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 |
|---|---|---|---|---|---|---|---|
| 1736768 | Evan Mark Jones | C/O Goosehead Insurance, Inc. 1500 Solana Blvd., Building 4, Ste 4500 Westlake TX 76262 | Ceo | Yes | Yes | Yes | Yes |
| 1737503 | Elizabeth Mary Robyn Jones | C/O Goosehead Insurance, Inc. 1500 Solana Blvd., Building 4, Ste 4500 Westlake TX 76262 | Yes | No | Yes | Yes | |
| 1737835 | 2014 Trust Family Peterson Lavaun Camille | 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 | 2023-11-20 | 15,000 | $0.00 | 275,434 | No | 4 | C | Direct | |
| Class A Common Stock | Acquisiton | 2023-11-20 | 15,000 | $0.00 | 15,000 | No | 4 | C | Direct | |
| Class A Common Stock | Disposition | 2023-11-20 | 15,000 | $73.06 | 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 | 2023-11-20 | 15,000 | $0.00 | 15,000 | $0.00 |
| Remaning Holdings | Exercise Date | Expiration Date | Equity Swap Involved | Transaction Form Type | Transaction Code | Nature of Ownership |
|---|---|---|---|---|---|---|
| 275,434 | No | 4 | C | Direct |
Reported Non-Derivative Holdings
| Sec. Name | Remaning Holdings | Nature of Ownership | Explanation |
|---|---|---|---|
| Class A Common Stock | 189,551 | Direct | |
| Class B Common Stock | 182,349 | Direct | |
| Class A Common Stock | 181,290 | Direct | |
| Class B Common Stock | 132,349 | Direct | |
| Class B Common Stock | 9,401,413 | Indirect | By 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 | 182,349 | 182,349 | Direct | ||
| Class A Common Stock | LLC Units in Goosehead Financial, LLC | $0.00 | 132,349 | 132,349 | Direct | ||
| Class A Common Stock | LLC Units in Goosehead Financial, LLC | $0.00 | 9,401,413 | 9,401,413 | Indirect |
| Expiration Date | Amount | Remaning Holdings | Nature of Ownership |
|---|---|---|---|
| 182,349 | 182,349 | Direct | |
| 132,349 | 132,349 | Direct | |
| 9,401,413 | 9,401,413 | Indirect |
Footnotes
- Reflects shares of Class A Common Stock, shares of Class B Common Stock or LLC Units, as applicable, held (i) directly by the Camille Lavaun Peterson Family Trust 2014 and (ii) indirectly by Mark EvanJones and Robyn Mary Elizabeth Jones, who serve as trustees of the Camille Lavaun Peterson Family Trust 2014 and whose immediate family members are beneficiaries of the Camille Lavaun Peterson Family Trust 2014.
- The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $72.63 to $73.41, 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.
- Reflects a reduction in shares due to a same-day gift by Mark Evan Jones, for which a separate Form 4 will be filed.
- Reflects shares of Class A Common Stock, shares of Class B Common Stock or LLC Units, as applicable, held directly by Mark Evan Jones, and does not reflect Class A Common Stock, shares of Class B Common Stock or LLC Units, as applicable, held by his spouse, Robyn Mary Elizabeth Jones, who is independently a reporting person of the issuer.
- Reflects shares of Class A Common Stock, shares of Class B Common Stock or LLC Units, as applicable, held directly by Robyn Mary Elizabeth Jones, and does not reflect Class A Common Stock, shares of Class B Common Stock or LLC Units, as applicable, held by her spouse, Mark Evan Jones, who is independently a reporting person of the issuer.
- Reflects a reduction in shares held indirectly by Mark Evan Jones and Robyn Mary Elizabeth Jones due to 11/20/2023 and 11/21/2023 sales by certain trusts for which Mark Evan Jones and Robyn Mary Elizabeth Jones serve as trustees and of which their immediate family members are beneficiaries, each a separate reporting person and for which separate Form 4s will be filed.
- Reflects shares of Class B Common Stock or LLC Units, as applicable, held indirectly by Mark Evan Jones and Robyn Mary Elizabeth Jones, who serve as trustees of various trusts and whose immediate family members are beneficiaries of such trusts.
- 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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