0000950103-19-014317.txt : 20191028 0000950103-19-014317.hdr.sgml : 20191028 20191028214128 ACCESSION NUMBER: 0000950103-19-014317 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191028 FILED AS OF DATE: 20191028 DATE AS OF CHANGE: 20191028 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Valentine John A. CENTRAL INDEX KEY: 0001787661 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39095 FILM NUMBER: 191174324 MAIL ADDRESS: STREET 1: 4010 W. BOY SCOUT BLVD. SUITE 200 CITY: TAMPA STATE: FL ZIP: 33607 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: BRP Group, Inc. CENTRAL INDEX KEY: 0001781755 STANDARD INDUSTRIAL CLASSIFICATION: INSURANCE AGENTS BROKERS & SERVICES [6411] IRS NUMBER: 611937225 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 4010 W. BOY SCOUT BLVD. STREET 2: SUITE 200 CITY: TAMPA STATE: FL ZIP: 33607 BUSINESS PHONE: (866) 279-0698 MAIL ADDRESS: STREET 1: 4010 W. BOY SCOUT BLVD. STREET 2: SUITE 200 CITY: TAMPA STATE: FL ZIP: 33607 4 1 dp114764_4-valentine.xml FORM 4 X0306 4 2019-10-28 0 0001781755 BRP Group, Inc. BRP 0001787661 Valentine John A. C/O BRP GROUP, INC. 4010 W. BOY SCOUT BLVD. SUITE 200 TAMPA FL 33607 0 1 0 1 Chief Partnership Officer Member of 10% owner group Class B Common Stock 2019-10-28 4 A 0 1268843 0.0001 A 1268843 D Class B Common Stock 2019-10-28 4 A 0 190326 0.0001 A 190326 I By John A. Valentine 2019 Grantor Retained Annuity Trust dated September 30, 2019 LLC Units in Baldwin Risk Partners, LLC 0 2019-10-28 4 A 0 1268843 0 A Class A Common Stock 1268843 1268843 D LLC Units in Baldwin Risk Partners, LLC 0 2019-10-28 4 A 0 190326 0 A Class A Common Stock 190326 190326 I By John A. Valentine 2019 Grantor Retained Annuity Trust dated September 30, 2019 This excludes securities owned by the Villages Invesco, LLC (the "Villages") relating to a voting agreement between the Villages and members of the "group" (which includes the reporting person) referenced in the Form 3 for Baldwin Insurance Group Holdings, LLC, filed October 28, 2019, for which the reporting person disclaims beneficial ownership. These securities were acquired through the conversion immediately prior to the issuer's initial public offering of historical interests held by the reporting person in Baldwin Risk Partners, LLC. 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/ Christopher J. Stephens, as Attorney-in Fact, for John A. Valentine 2019-10-28