0001726978-23-000125.txt : 20230922
0001726978-23-000125.hdr.sgml : 20230922
20230922171912
ACCESSION NUMBER: 0001726978-23-000125
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230920
FILED AS OF DATE: 20230922
DATE AS OF CHANGE: 20230922
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Romney Lanni
CENTRAL INDEX KEY: 0001737762
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38466
FILM NUMBER: 231272483
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_1695417541.xml
FORM 4
X0508
4
2023-09-20
0
0001726978
Goosehead Insurance, Inc.
GSHD
0001737762
Romney Lanni
C/O GOOSEHEAD INSURANCE, INC.
1500 SOLANA BLVD., BLDG 4, STE 4500
WESTLAKE
TX
76262
0
0
1
1
Member of 10% owner group
1
Class B Common Stock
2023-09-20
4
C
0
7500
0
D
195291
D
Class A Common Stock
2023-09-20
4
C
0
7500
0
A
7500
D
Class A Common Stock
2023-09-20
4
S
0
5600
76.13
D
1900
D
Class A Common Stock
2023-09-20
4
S
0
1900
76.94
D
0
D
Class B Common Stock
88704
I
Lanni Romney Spousal Lifetime Access Trust
LLC Units in Goosehead Financial, LLC
0
2023-09-20
4
C
0
7500
0
D
Class A Common Stock
7500
195291
D
LLC Units in Goosehead Financial, LLC
0
Class A Common Stock
88704
88704
I
Lanni Romney Spousal Lifetime Access Trust
This does not reflect shares directly held by the reporting person's spouse, who is independently a reporting person of the issuer.
The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $75.53 to $76.48, 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 $76.83 to $77.19, 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 Lanni Romney
2023-09-22