0001214659-22-015173.txt : 20221221 0001214659-22-015173.hdr.sgml : 20221221 20221221162907 ACCESSION NUMBER: 0001214659-22-015173 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221208 FILED AS OF DATE: 20221221 DATE AS OF CHANGE: 20221221 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Galbraith Daniel CENTRAL INDEX KEY: 0001787629 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39095 FILM NUMBER: 221478746 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 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-57911.xml PRIMARY DOCUMENT X0306 4 2022-12-08 0001781755 BRP Group, Inc. BRP 0001787629 Galbraith Daniel C/O BRP GROUP, INC. 4211 W. BOY SCOUT BLVD., SUITE 800 TAMPA FL 33607 false true false true Chief Operating Officer Member of 10% owner group Class B Common Stock 2022-12-08 5 G false E 1365244 0 D 0 D Class B Common Stock 2022-12-08 5 G false E 1365244 0 A 1365244 I By Trust Class B Common Stock 11348 I By Trust LLC Units in Baldwin Risk Partners, LLC 0 2022-12-08 5 G false E 1365244 0 D Class A Common Stock 1365244 0 D LLC Units in Baldwin Risk Partners, LLC 0 2022-12-08 5 G false E 1365244 0 A Class A Common Stock 1365244 1365244 I By Trust LLC Units in Baldwin Risk Partners, LLC 0 Class A Common Stock 11348 11348 I By Trust These securities were transferred from Daniel A. Galbraith to Daniel A. Galbraith, as Trustee of the Daniel A. Galbraith Revocable Trust, dated July 27, 2020. These securities are directly held by the Daniel A. Galbraith Revocable Trust, dated July 27, 2020, of which the reporting person is the sole trustee and beneficiary. These securities are directly held by the Daniel A. Galbraith 2020 Irrevocable Trust dated August 5, 2020, of which Elizabeth A. Galbraith, 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 Daniel A. Galbraith 2022-12-21