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