0001726978-23-000121.txt : 20230831 0001726978-23-000121.hdr.sgml : 20230831 20230831171835 ACCESSION NUMBER: 0001726978-23-000121 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230830 FILED AS OF DATE: 20230831 DATE AS OF CHANGE: 20230831 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: 231229528 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 wk-form4_1693516685.xml FORM 4 X0508 4 2023-08-30 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 0 Class B Common Stock 2023-08-30 4 C 0 73000 0 D 370442 D Class A Common Stock 2023-08-30 4 C 0 73000 0 A 73000 D Class A Common Stock 2023-08-30 4 S 0 72800 68.19 D 200 D Class A Common Stock 2023-08-30 4 S 0 200 69.09 D 0 D Class B Common Stock 179246 I SLJ Dynasty Trust Class B Common Stock 161094 I SLJ 2023 Grantor Retained Annuity Trust LLC Units in Goosehead Financial, LLC 0 2023-08-30 4 C 0 73000 0 D Class A Common Stock 73000 370442 D LLC Units in Goosehead Financial, LLC 0 Class A Common Stock 179246 179246 I SLJ Dynasty Trust LLC Units in Goosehead Financial, LLC 0 Class A Common Stock 161094 161094 I SLJ 2023 Grantor Retained Annuity Trust The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $68.00 to $68.99, 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. /s/ John O'Connor, as Attorney-in-Fact for Serena Jones 2023-08-31