Filing Details
- Accession Number:
- 0001726978-23-000172
- Form Type:
- 4
- Zero Holdings:
- No
- Publication Time:
- 2023-11-29 18:18:31
- Reporting Period:
- 2023-11-27
- Accepted Time:
- 2023-11-29 18:18:31
- 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 |
|---|---|---|---|---|---|---|---|
| 1737826 | Adrienne Kebodeaux | C/O Goosehead Insurance, Inc. 1500 Solana Blvd., Bldg 4, Ste 4500 Westlake TX 76262 | No | No | Yes | Yes | |
| 1917193 | Trust Irrevocable Bear The & Chick | 1500 Solana Boulevard 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 | 2023-11-27 | 15,000 | $0.00 | 63,530 | No | 4 | C | Direct | |
| Class A Common Stock | Acquisiton | 2023-11-27 | 15,000 | $0.00 | 15,000 | No | 4 | C | Direct | |
| Class A Common Stock | Disposition | 2023-11-27 | 15,000 | $73.15 | 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 | 2023-11-27 | 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 |
|---|---|---|---|---|---|---|
| 63,530 | No | 4 | C | Direct |
Reported Non-Derivative Holdings
| Sec. Name | Remaning Holdings | Nature of Ownership | Explanation |
|---|---|---|---|
| Class B Common Stock | 338,027 | 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 | 338,027 | 338,027 | Direct |
| Expiration Date | Amount | Remaning Holdings | Nature of Ownership |
|---|---|---|---|
| 338,027 | 338,027 | Direct |
Footnotes
- Reflects shares of Class A Common Stock, shares of Class B Common Stock or LLC Units, as applicable, held (i) directly by Chick and The Bear Irrevocable Trust and (ii) indirectly by Adrienne Kebodeaux, who serves as trustee of Chick and The Bear Irrevocable Trust and whose immediate family members are beneficiaries of Chick and The Bear Irrevocable Trust.
- The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $73.00 to $73.74, 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 sale by Adrienne Kebodeaux, a separate reporting person and 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 Adrienne Kebodeaux.
- 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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