0001726978-20-000270.txt : 20200729 0001726978-20-000270.hdr.sgml : 20200729 20200729162308 ACCESSION NUMBER: 0001726978-20-000270 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200727 FILED AS OF DATE: 20200729 DATE AS OF CHANGE: 20200729 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Colby Michael C. CENTRAL INDEX KEY: 0001737258 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38466 FILM NUMBER: 201057505 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 wf-form4_159605414891152.xml FORM 4 X0306 4 2020-07-27 0 0001726978 Goosehead Insurance, Inc. GSHD 0001737258 Colby Michael C. C/O GOOSEHEAD INSURANCE, INC. 1500 SOLANA BLVD., BUILDING 4, STE 4500 WESTLAKE TX 76262 0 1 0 0 President and COO Class B Common Stock 2020-07-27 4 C 0 297 0 D 632133 D Class A Common Stock 2020-07-27 4 C 0 297 0 A 63928 D Class A Common Stock 2020-07-27 4 S 0 297 85 D 63631 D Class B Common Stock 858166 I By Trust Class A Common Stock 143402 I By Colby 2014 Family Trust LLC Units in Goosehead Financial, LLC 0.0 2020-07-27 4 C 0 297 0 D Class A Common Stock 297.0 632133 D LLC Units in Goosehead Financial, LLC 0.0 Class A Common Stock 858166.0 858166 I By Trust Reflects shares of Class A Common Stock, shares of Class B Common Stock or LLC Units, as applicable, held in trust for which the reporting person serves as a trustee and of which immediate family members of the reporting person are beneficiaries. Each LLC Unit, together with a share of Class B Sommon Stock, may be converted by the holder into one share of Class A Common Stock at any time. The LLC Units do not expire. The sales reported were effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person. /s/ P. Ryan Langston, as Attorney-in-Fact for Michael C. Colby 2020-07-29