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