0001214659-22-015174.txt : 20221221 0001214659-22-015174.hdr.sgml : 20221221 20221221162932 ACCESSION NUMBER: 0001214659-22-015174 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: Krystyn Elizabeth CENTRAL INDEX KEY: 0001787715 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39095 FILM NUMBER: 221478749 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 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: 221478748 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-57912.xml PRIMARY DOCUMENT X0306 4 2022-12-08 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 Class B Common Stock 2022-12-08 5 G false E 1826963 0 D 0 D Class B Common Stock 2022-12-08 5 G false E 1826963 0 A 1826963 I By Trust Class B Common Stock 269502 I By Trust Class B Common Stock 244411 I By Trust LLC Units in Baldwin Risk Partners, LLC 0 2022-12-08 5 G false E 1826963 0 D Class A Common Stock 1826963 0 D LLC Units in Baldwin Risk Partners, LLC 0 2022-12-08 5 G false E 1826963 0 A Class A Common Stock 1826963 1826963 I By Trust LLC Units in Baldwin Risk Partners, LLC 0 Class A Common Stock 269502 269502 I By Trust LLC Units in Baldwin Risk Partners, LLC 0 Class A Common Stock 244411 244411 I By Trust These securities were transferred from Elizabeth H. Krystyn to Elizabeth H. Krystyn, as Trustee of the Elizabeth H. Krystyn 2017 Revocable Trust, dated June 28, 2017. These securities are directly held by the Elizabeth H. Krystyn 2017 Revocable Trust, dated June 28, 2017, of which the reporting person is the sole trustee and beneficiary. 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 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 2022-12-21 /s/ Seth Cohen as Attorney-in Fact, for Elizabeth H. Krystyn 2019 Grantor Retained Annuity Trust II Dated September 30, 2019 2022-12-21