0001726978-19-000045.txt : 20190225
0001726978-19-000045.hdr.sgml : 20190225
20190225171556
ACCESSION NUMBER: 0001726978-19-000045
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190221
FILED AS OF DATE: 20190225
DATE AS OF CHANGE: 20190225
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Jones Serena
CENTRAL INDEX KEY: 0001737783
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38466
FILM NUMBER: 19630539
MAIL ADDRESS:
STREET 1: 1500 SOLANA BLVD
STREET 2: BUILDING 4, SUITE 4500
CITY: WESTLAKE
STATE: TX
ZIP: 76262
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Goosehead Insurance, Inc.
CENTRAL INDEX KEY: 0001726978
STANDARD INDUSTRIAL CLASSIFICATION: INSURANCE AGENTS BROKERS & SERVICES [6411]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1500 SOLANA BLVD
STREET 2: BUILDING 4, SUITE 4500
CITY: WESTLAKE
STATE: TX
ZIP: 76262
BUSINESS PHONE: 214-838-5500
MAIL ADDRESS:
STREET 1: 1500 SOLANA BLVD
STREET 2: BUILDING 4, SUITE 4500
CITY: WESTLAKE
STATE: TX
ZIP: 76262
4
1
wf-form4_155113294249320.xml
FORM 4
X0306
4
2019-02-21
0
0001726978
Goosehead Insurance, Inc.
GSHD
0001737783
Jones Serena
C/O GOOSEHEAD INSURANCE, INC.
1500 SOLANA BLVD., BLDG 4, STE 4500
WESTLAKE
TX
76262
0
0
1
1
Member of 10% owner group
Class B Common Stock
2019-02-21
4
C
0
1500
0
D
1115474
D
Class A Common Stock
2019-02-21
4
C
0
1500
0
A
1500
D
Class A Common Stock
2019-02-21
4
S
0
1500
34.0033
D
0
D
LLC Units in Goosehead Financial, LLC
0.0
2019-02-21
4
C
0
1500
0
D
Class A Common Stock
1500.0
1115474
D
The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $34.00 to $34.01, 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.
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.
The sales reported were effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person.
/s/ P. Ryan Langston, as Attorney-in-Fact for Serena Jones
2019-02-25