0001726978-21-000159.txt : 20210823 0001726978-21-000159.hdr.sgml : 20210823 20210823191328 ACCESSION NUMBER: 0001726978-21-000159 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210820 FILED AS OF DATE: 20210823 DATE AS OF CHANGE: 20210823 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: 211198177 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_162976038880003.xml FORM 4 X0306 4 2021-08-20 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 2021-08-20 4 C 0 2500 0 D 36396 I By Lyla Kate Colby 2014 Trust Class A Common Stock 2021-08-20 4 C 0 2500 0 A 2500 I By Lyla Kate Colby 2014 Trust Class A Common Stock 2021-08-20 4 S 0 1997 136.86 D 503 I By Lyla Kate Colby 2014 Trust Class A Common Stock 2021-08-20 4 S 0 503 137.54 D 0 I By Lyla Kate Colby 2014 Trust Class B Common Stock 2021-08-20 4 C 0 2500 0 D 36396 I By Preston Michael Colby 2014 Trust Class A Common Stock 2021-08-20 4 C 0 2500 0 A 2500 I By Preston Michael Colby 2014 Trust Class A Common Stock 2021-08-20 4 S 0 1999 136.86 D 501 I By Preston Michael Colby 2014 Trust Class A Common Stock 2021-08-20 4 S 0 501 137.54 D 0 I By Preston Michael Colby 2014 Trust Class B Common Stock 427024 D Class A Common Stock 23131 D Class B Common Stock 671732 I By Colby 2014 Family Trust Class A Common Stock 83402 I By Colby 2014 Family Trust LLC Units in Goosehead Financial, LLC 0.0 2021-08-20 4 C 0 2500 0 D Class A Common Stock 2500.0 36396 I By Lyla Kate Colby 2014 Trust LLC Units in Goosehead Financial, LLC 0.0 2021-08-20 4 C 0 2500 0 D Class A Common Stock 2500.0 36396 I By Preston Michael Colby 2014 Trust LLC Units in Goosehead Financial, LLC 0.0 Class A Common Stock 427024.0 427024 D LLC Units in Goosehead Financial, LLC 0.0 Class A Common Stock 671732.0 671732 I By Colby 2014 Family 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. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $136.30 to $137.29, 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. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $137.33 to $138.19, 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. 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/ P. Ryan Langston, as Attorney-in-Fact for Michael C. Colby 2021-08-23