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