0001726978-23-000101.txt : 20230814 0001726978-23-000101.hdr.sgml : 20230814 20230814163741 ACCESSION NUMBER: 0001726978-23-000101 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230814 FILED AS OF DATE: 20230814 DATE AS OF CHANGE: 20230814 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Miller Mark CENTRAL INDEX KEY: 0001737949 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38466 FILM NUMBER: 231171245 MAIL ADDRESS: STREET 1: 1500 SOLANA BLVD STREET 2: BUILDING 4, SUITE 4500 CITY: WESTLAKE STATE: TX ZIP: 76262 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Goosehead Insurance, Inc. CENTRAL INDEX KEY: 0001726978 STANDARD INDUSTRIAL CLASSIFICATION: INSURANCE AGENTS BROKERS & SERVICES [6411] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1500 SOLANA BLVD STREET 2: BUILDING 4, SUITE 4500 CITY: WESTLAKE STATE: TX ZIP: 76262 BUSINESS PHONE: 214-838-5500 MAIL ADDRESS: STREET 1: 1500 SOLANA BLVD STREET 2: BUILDING 4, SUITE 4500 CITY: WESTLAKE STATE: TX ZIP: 76262 4 1 wk-form4_1692045450.xml FORM 4 X0508 4 2023-08-14 0 0001726978 Goosehead Insurance, Inc. GSHD 0001737949 Miller Mark 1500 SOLANA BLVD BUILDING 4, SUITE 4500 WESTLAKE TX 76262 1 1 0 0 President and COO 0 Class A Common Stock 2023-08-14 4 P 0 3000 63.25 A 15000 D /s/ John O'Connor, as Attorney-in-Fact for Mark Miller 2023-08-14