0001726978-20-000026.txt : 20200116 0001726978-20-000026.hdr.sgml : 20200116 20200116180928 ACCESSION NUMBER: 0001726978-20-000026 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200114 FILED AS OF DATE: 20200116 DATE AS OF CHANGE: 20200116 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Jones Robyn Mary Elizabeth CENTRAL INDEX KEY: 0001737503 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-38466 FILM NUMBER: 20531903 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/A 1 wf-form4a_157921615043677.xml FORM 4/A X0306 4/A 2020-01-14 2020-01-14 0 0001726978 Goosehead Insurance, Inc. GSHD 0001737503 Jones Robyn Mary Elizabeth C/O GOOSEHEAD INSURANCE, INC. 1500 SOLANA BLVD., BUILDING 4, STE 4500 WESTLAKE TX 76262 1 0 1 1 Member of 10% owner group Class A Common Stock 2020-01-14 4 S 0 20651 44.4329 D 23884 I By Mark and Robyn Jones Descendants Trust 2014 Class A Common Stock 747890 D The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $43.97 to $44.92, 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. This does not reflect shares directly held by the reporting person's spouse, who is independently a reporting person of the issuer. The sales reported were effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person. The purpose of this amendment is solely to amend the language in the footnote to this previously filed Form 4. Following the reported transaction above, the correct number of shares Mark and Robyn Jones, together with their trusts, continue to own beneficially is 1,497,575 shares of Class A Common Stock and 14,600,441 shares of Class B Common Stock, for a total of 16,098,016 shares of Goosehead Insurance, Inc. /s/ P. Ryan Langston, as Attorney-in-Fact for Robyn Mary Elizabeth Jones 2020-01-16