0001726978-23-000166.txt : 20231127
0001726978-23-000166.hdr.sgml : 20231127
20231127181652
ACCESSION NUMBER: 0001726978-23-000166
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20231122
FILED AS OF DATE: 20231127
DATE AS OF CHANGE: 20231127
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: 231441472
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_1701127003.xml
FORM 4
X0508
4
2023-11-22
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
0
Class B Common Stock
2023-11-22
4
C
0
15000
0
D
180291
D
Class A Common Stock
2023-11-22
4
C
0
15000
0
A
15000
D
Class A Common Stock
2023-11-22
4
S
0
15000
71.74
D
0
D
Class B Common Stock
73704
I
Lanni Romney Spousal Lifetime Access Trust
LLC Units in Goosehead Financial, LLC
0
2023-11-22
4
C
0
15000
0
D
Class A Common Stock
15000
180291
D
LLC Units in Goosehead Financial, LLC
0
Class A Common Stock
73704
73704
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 $71.38 to $72.02, 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 a reduction in shares due to a same-day sale by Lanni Romney Spousal Lifetime Access Trust, a separate reporting person and for which a separate Form 4 will be filed.
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
2023-11-27