0001214659-22-012374.txt : 20221017
0001214659-22-012374.hdr.sgml : 20221017
20221017215243
ACCESSION NUMBER: 0001214659-22-012374
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220930
FILED AS OF DATE: 20221017
DATE AS OF CHANGE: 20221017
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Wiebeck Kristopher Aaron
CENTRAL INDEX KEY: 0001787635
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39095
FILM NUMBER: 221314800
MAIL ADDRESS:
STREET 1: 4010 W. BOY SCOUT BLVD. SUITE 200
CITY: TAMPA
STATE: FL
ZIP: 33607
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Kristopher A. Wiebeck, as Trustee of the Kristopher A. Wiebeck 2020 Grantor Retained Annuity Trust, dated September 30, 2020
CENTRAL INDEX KEY: 0001827266
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39095
FILM NUMBER: 221314799
BUSINESS ADDRESS:
STREET 1: C/O BRP GROUP, INC.
STREET 2: 4211 W. BOY SCOUT BLVD., SUITE 800
CITY: TAMPA
STATE: FL
ZIP: 33607
BUSINESS PHONE: 813-984-3215
MAIL ADDRESS:
STREET 1: C/O BRP GROUP, INC.
STREET 2: 4211 W. BOY SCOUT BLVD., SUITE 800
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
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 4211 W. BOY SCOUT BLVD.
STREET 2: SUITE 800
CITY: TAMPA
STATE: FL
ZIP: 33607
BUSINESS PHONE: (866) 279-0698
MAIL ADDRESS:
STREET 1: 4211 W. BOY SCOUT BLVD.
STREET 2: SUITE 800
CITY: TAMPA
STATE: FL
ZIP: 33607
4
1
marketforms-57327.xml
PRIMARY DOCUMENT
X0306
4
2022-09-30
0001781755
BRP Group, Inc.
BRP
0001787635
Wiebeck Kristopher Aaron
C/O BRP GROUP, INC.
4211 W. BOY SCOUT BLVD., SUITE 800
TAMPA
FL
33607
true
true
false
true
Chief Strategy Officer
Member of 10% owner group
0001827266
Kristopher A. Wiebeck, as Trustee of the Kristopher A. Wiebeck 2020 Grantor Retained Annuity Trust, dated September 30, 2020
C/O BRP GROUP, INC.
4211 W. BOY SCOUT BLVD., SUITE 800
TAMPA
FL
33607
false
false
false
true
Member of 10% owner group
Class B Common Stock
2022-09-30
5
G
false
E
24348
0
D
4624
I
By Trust
Class B Common Stock
2022-09-30
5
G
false
E
24348
0
A
1113367
D
Class B Common Stock
2022-09-30
5
G
false
E
4624
0
D
0
I
By Trust
Class B Common Stock
2022-09-30
5
G
false
E
4624
0
A
395965
I
By Trust
LLC Units in Baldwin Risk Partners, LLC
0
2022-09-30
5
G
false
E
24348
0
D
Class A Common Stock
24348
4624
I
By Trust
LLC Units in Baldwin Risk Partners, LLC
0
2022-09-30
5
G
false
E
24348
0
A
Class A Common Stock
24348
1113367
D
LLC Units in Baldwin Risk Partners, LLC
0
2022-09-30
5
G
false
E
4624
0
D
Class A Common Stock
4624
0
I
By Trust
LLC Units in Baldwin Risk Partners, LLC
0
2022-09-30
5
G
false
E
4624
0
A
Class A Common Stock
4624
395965
I
By Trust
These securities were transferred from the Kristopher A. Wiebeck 2020 Grantor Retained Annuity Trust dated September 30, 2020 to Kristopher A. Wiebeck.
These securities are directly held by the Kristopher A. Wiebeck 2020 Grantor Retained Annuity Trust dated September 30, 2020, of which the reporting person serves as the sole trustee and beneficiary.
These securities were transferred from the Kristopher A. Wiebeck 2020 Grantor Retained Annuity Trust dated September 30, 2020 to Melissa E. Wiebeck, as trustee of the Kristopher A. Wiebeck 2019 Irrevocable Trust dated August 28, 2019.
These securities are directly held by the Kristopher A. Wiebeck 2019 Irrevocable Trust dated August 28, 2019, of which Melissa E. Wiebeck, the reporting person's spouse, serves as the sole trustee.
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/ Seth Cohen, as Attorney-in-Fact for Kristopher Wiebeck
2022-10-17
s/ Seth Cohen as Attorney-in Fact, for Kristopher A. Wiebeck 2020 Grantor Retained Annuity Trust Dated September 30, 2020
2022-10-17