0001726978-19-000108.txt : 20190424 0001726978-19-000108.hdr.sgml : 20190424 20190424163257 ACCESSION NUMBER: 0001726978-19-000108 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190422 FILED AS OF DATE: 20190424 DATE AS OF CHANGE: 20190424 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Colby Michael C. CENTRAL INDEX KEY: 0001737258 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38466 FILM NUMBER: 19764234 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_155613796206007.xml FORM 4 X0306 4 2019-04-22 0 0001726978 Goosehead Insurance, Inc. GSHD 0001737258 Colby Michael C. C/O GOOSEHEAD INSURANCE, INC. 1500 SOLANA BLVD., BUILDING 4, STE 4500 WESTLAKE TX 76262 0 1 0 0 President and COO Class B Common Stock 2019-04-22 4 C 0 8578 0 D 918446 D Class A Common Stock 2019-04-22 4 C 0 8578 0 A 84209 D Class A Common Stock 2019-04-22 4 S 0 8578 26.1567 D 75631 D Class B Common Stock 858166 I By Trust Class A Common Stock 238402 I By Colby 2014 Family Trust LLC Units in Goosehead Financial, LLC 0.0 2019-04-22 4 C 0 8578 0 D Class A Common Stock 8578.0 918446 D LLC Units in Goosehead Financial, LLC 0.0 Class A Common Stock 858166.0 858166 I By Trust The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $26.00 to $26.82, 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 shares of Class A Common Stock, shares of Class B Common Stock or LLC Units, as applicable, held in trust for which the reporting person serves as a trustee and of which immediate family members of the reporting person are beneficiaries. Each LLC Unit, together with a share of Class B Sommon 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 Michael C. Colby 2019-04-24