0001214659-22-012378.txt : 20221017
0001214659-22-012378.hdr.sgml : 20221017
20221017215358
ACCESSION NUMBER: 0001214659-22-012378
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: Krystyn Elizabeth
CENTRAL INDEX KEY: 0001787715
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39095
FILM NUMBER: 221314811
MAIL ADDRESS:
STREET 1: 4010 W. BOY SCOUT BLVD. SUITE 200
CITY: TAMPA
STATE: FL
ZIP: 33607
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Elizabeth H. Krystyn, as Trustee of the Elizabeth H. Krystyn 2020 Grantor Retained Annuity Trust, dated September 30, 2020
CENTRAL INDEX KEY: 0001827294
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39095
FILM NUMBER: 221314809
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
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Elizabeth H. Krystyn 2019 Grantor Retained Annuity Trust II Dated September 30, 2019
CENTRAL INDEX KEY: 0001791811
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39095
FILM NUMBER: 221314810
BUSINESS ADDRESS:
STREET 1: 3312 WEST KNIGHTS AVENUE
CITY: TAMPA
STATE: FL
ZIP: 33611
BUSINESS PHONE: 813-984-3205
MAIL ADDRESS:
STREET 1: 3312 WEST KNIGHTS AVENUE
CITY: TAMPA
STATE: FL
ZIP: 33611
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-57333.xml
PRIMARY DOCUMENT
X0306
4
2022-09-30
0001781755
BRP Group, Inc.
BRP
0001787715
Krystyn Elizabeth
C/O BRP GROUP, INC.
4211 W. BOY SCOUT BLVD., SUITE 800
TAMPA
FL
33607
false
false
false
true
Member of 10% owner group
0001791811
Elizabeth H. Krystyn 2019 Grantor Retained Annuity Trust II Dated September 30, 2019
C/O BRP GROUP, INC.
4211 W. BOY SCOUT BLVD., SUITE 800
TAMPA
FL
33607
false
false
false
true
Member of 10% owner group
0001827294
Elizabeth H. Krystyn, as Trustee of the Elizabeth H. Krystyn 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
15058
0
D
269502
I
By Trust
Class B Common Stock
2022-09-30
5
G
false
E
15058
0
A
1802556
D
Class B Common Stock
2022-09-30
5
G
false
E
24407
0
D
4635
I
By Trust
Class B Common Stock
2022-09-30
5
G
false
E
24407
0
A
1826963
D
Class B Common Stock
2022-09-30
5
G
false
E
4635
0
D
0
I
By Trust
Class B Common Stock
2022-09-30
5
G
false
E
4635
0
A
244411
I
By Trust
LLC Units in Baldwin Risk Partners, LLC
0
2022-09-30
5
G
false
E
15058
0
D
Class A Common Stock
15058
269502
I
By Trust
LLC Units in Baldwin Risk Partners, LLC
0
2022-09-30
5
G
false
E
15058
0
A
Class A Common Stock
15058
1802556
D
LLC Units in Baldwin Risk Partners, LLC
0
2022-09-30
5
G
false
E
24407
0
D
Class A Common Stock
24407
4635
I
By Trust
LLC Units in Baldwin Risk Partners, LLC
0
2022-09-30
5
G
false
E
24407
0
A
Class A Common Stock
24407
1826963
D
LLC Units in Baldwin Risk Partners, LLC
0
2022-09-30
5
G
false
E
4635
0
D
Class A Common Stock
4635
0
I
By Trust
LLC Units in Baldwin Risk Partners, LLC
0
2022-09-30
5
G
false
E
4635
0
A
Class A Common Stock
4635
244411
I
By Trust
These securities were transferred from the Elizabeth H. Krystyn 2019 Grantor Retained Annuity Trust II Dated September 30, 2019 to Elizabeth Krystyn.
These securities are directly held by the Elizabeth H. Krystyn 2019 Grantor Retained Annuity Trust II Dated September 30, 2019, of which the reporting person is the sole trustee and beneficiary.
These securities were transferred from the Elizabeth H. Krystyn 2020 Grantor Retained Annuity Trust, dated September 30, 2020 to Elizabeth Krystyn.
These securities are directly held by the Elizabeth H. Krystyn 2020 Grantor Retained Annuity Trust, dated September 30, 2020, of which the reporting person is the sole trustee and beneficiary.
These securities were transferred from the Elizabeth H. Krystyn 2020 Grantor Retained Annuity Trust, dated September 30, 2020 to Enrique M. Fueyo, as Trustee of the Elizabeth H. Krystyn 2019 Irrevocable Trust, dated September 30, 2019.
These securities are directly held by the Elizabeth H. Krystyn 2019 Irrevocable Trust, dated September 30, 2019, of which Enrique M. Fueyo, 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 Elizabeth Krystyn
2022-10-17
/s/ Seth Cohen as Attorney-in Fact, for Elizabeth H. Krystyn 2019 Grantor Retained Annuity Trust II Dated September 30, 2019
2022-10-17
/s/ Seth Cohen as Attorney-in Fact, for Elizabeth H. Krystyn 2020 Grantor Retained Annuity Trust Dated September 30, 2020
2022-10-17