Filing Details

Accession Number:
0001726978-23-000174
Form Type:
4
Zero Holdings:
No
Publication Time:
2023-11-29 18:33:39
Reporting Period:
2023-11-27
Accepted Time:
2023-11-29 18:33:39
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
1737783 Serena Jones C/O Goosehead Insurance, Inc.
1500 Solana Blvd., Bldg 4, Ste 4500
Westlake TX 76262
No No Yes Yes
1849957 Trust Dynasty Slj 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 28,000 $0.00 151,246 No 4 C Direct
Class A Common Stock Acquisiton 2023-11-27 28,000 $0.00 28,000 No 4 C Direct
Class A Common Stock Disposition 2023-11-27 27,700 $74.47 300 No 4 S Direct
Class A Common Stock Disposition 2023-11-27 300 $74.99 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
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 28,000 $0.00 28,000 $0.00
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
151,246 No 4 C Direct
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Class B Common Stock 370,442 Direct
Class B Common Stock 161,094 Indirect SLJ 2023 Grantor Retained Annuity 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 $0.00 370,442 370,442 Direct
Class A Common Stock LLC Units in Goosehead Financial, LLC $0.00 161,094 161,094 Indirect
Expiration Date Amount Remaning Holdings Nature of Ownership
370,442 370,442 Direct
161,094 161,094 Indirect
Footnotes
  1. Reflects shares of Class A Common Stock, shares of Class B Common Stock or LLC Units, as applicable, held directly by the SLJ Dynasty Trust, in which Serena Jones has a pecuniary interest.
  2. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $73.95 to $74.86, 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.
  3. Reflects shares of Class A Common Stock, shares of Class B Common Stock or LLC Units, as applicable, held directly by Serena Jones.
  4. Reflects shares of Class B Common Stock or LLC Units, as applicable, held indirectly by Serena Jones, who serves as a trustee and whose immediate family members are beneficiaries of SLJ 2023 Grantor Retained Annuity Trust.
  5. 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.