0001726978-20-000053.txt : 20200213 0001726978-20-000053.hdr.sgml : 20200213 20200213165818 ACCESSION NUMBER: 0001726978-20-000053 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200212 FILED AS OF DATE: 20200213 DATE AS OF CHANGE: 20200213 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Jones Robyn Mary Elizabeth CENTRAL INDEX KEY: 0001737503 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38466 FILM NUMBER: 20611694 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_158163108139274.xml FORM 4 X0306 4 2020-02-12 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 B Common Stock 2020-02-12 4 C 0 16941 0 D 14075093 I By Trust Class A Common Stock 2020-02-12 4 C 0 16941 0 A 16941 I By Mark and Robyn Jones Descendants Trust 2014 Class A Common Stock 2020-02-12 4 S 0 2734 52.69 D 14207 I By Mark and Robyn Jones Descendants Trust 2014 Class A Common Stock 2020-02-12 4 S 0 14207 53.92 D 0 I By Mark and Robyn Jones Descendants Trust 2014 Class A Common Stock 742390 D Class B Common Stock 182349 D LLC Units in Goosehead Financial, LLC 0.0 2020-02-12 4 C 0 16941 0 D Class A Common Stock 16941.0 14075093 I By Trust LLC Units in Goosehead Financial, LLC 0.0 Class A Common Stock 182349.0 182349 D 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. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $52.27 to $53.21, 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. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $53.28 to $54.21, 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. Reflects a gift of 5,500 Class A Common Stock made by the reporting person to a non-profit community foundation. 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 Mark and Robyn Jones Descendants Trust 2014. Following the reported transaction above, Mark and Robyn Jones, together with their trusts, continue to own beneficially 1,462,691 shares of Class A Common Stock and 14,439,791 shares of Class B Common Stock, for a total of 15,902,482 shares of Goosehead Insurance, Inc. /s/ P. Ryan Langston, as Attorney-in-Fact for Robyn Mary Elizabeth Jones 2020-02-13