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