0001968582-23-000108.txt : 20230515
0001968582-23-000108.hdr.sgml : 20230515
20230515171458
ACCESSION NUMBER: 0001968582-23-000108
CONFORMED SUBMISSION TYPE: 144
PUBLIC DOCUMENT COUNT: 1
FILED AS OF DATE: 20230515
DATE AS OF CHANGE: 20230515
SUBJECT COMPANY:
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
FILING VALUES:
FORM TYPE: 144
SEC ACT: 1933 Act
SEC FILE NUMBER: 001-38466
FILM NUMBER: 23924293
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
REPORTING-OWNER:
COMPANY DATA:
COMPANY CONFORMED NAME: Jones Serena
CENTRAL INDEX KEY: 0001737783
FILING VALUES:
FORM TYPE: 144
MAIL ADDRESS:
STREET 1: 1500 SOLANA BLVD
STREET 2: BUILDING 4, SUITE 4500
CITY: WESTLAKE
STATE: TX
ZIP: 76262
144
1
primary_doc.xml
144
0001737783
XXXXXXXX
LIVE
0001726978
Goosehead Insurance, Inc.
001-38466
1500 SOLANA BLVD
BUILDING 4, SUITE 4500
WESTLAKE
TX
76262
214-838-5500
Serena Jones
Affiliate
Class A Common
JP Morgan Securities LLC
390 Madison Avenue
6th Floor
New York
NY
10017
50000
2877500
23480674
05/15/2023
NASDAQ
Class A Common
05/15/2023
Class A Common Shares received in exchange of Class B units. The Class B units were acquired on May 1, 2018.
Issuer
N
50000
05/15/2023
Conversion
Y
Class B Common Stock to be exchanged for Class A Common Stock on 05/15/23 or soon thereafter.
05/15/2023
/s/ J.P. Morgan Securities LLC as agent and attorney-in-fact for Serena Jones