0001214659-23-015400.txt : 20231120
0001214659-23-015400.hdr.sgml : 20231120
20231120192933
ACCESSION NUMBER: 0001214659-23-015400
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20231116
FILED AS OF DATE: 20231120
DATE AS OF CHANGE: 20231120
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: 231424137
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: 231424136
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-63558.xml
PRIMARY DOCUMENT
X0508
4
2023-11-16
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
0
Class B Common Stock
2023-11-16
4
G
false
25446
0
D
244056
I
By Trust
Class B Common Stock
2023-11-16
4
G
false
25446
0
A
25446
D
Class B Common Stock
2023-11-17
4
G
false
25446
0
D
0
D
Class B Common Stock
2023-11-17
4
G
false
25446
0
A
1852409
I
By Trust
Class B Common Stock
244411
I
By Trust
LLC Units in Baldwin Risk Partners, LLC
0
2023-11-16
4
G
false
25446
0
D
Class A Common Stock
25446
244056
I
By Trust
LLC Units in Baldwin Risk Partners, LLC
0
2023-11-16
4
G
false
25446
0
A
Class A Common Stock
25446
25446
D
LLC Units in Baldwin Risk Partners, LLC
0
2023-11-17
4
G
false
25446
0
D
Class A Common Stock
25446
0
D
LLC Units in Baldwin Risk Partners, LLC
0
2023-11-17
4
G
false
25446
0
A
Class A Common Stock
25446
1852409
I
By Trust
LLC Units in Baldwin Risk Partners, LLC
0
Class A Common Stock
244411
244411
I
By Trust
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.
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 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
2023-11-20
/s/ Seth Cohen as Attorney-in Fact, for Elizabeth H. Krystyn 2019 Grantor Retained Annuity Trust II Dated September 30, 2019
2023-11-20