0001726978-23-000103.txt : 20230816 0001726978-23-000103.hdr.sgml : 20230816 20230816174716 ACCESSION NUMBER: 0001726978-23-000103 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230814 FILED AS OF DATE: 20230816 DATE AS OF CHANGE: 20230816 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Jones Mark Evan CENTRAL INDEX KEY: 0001736768 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38466 FILM NUMBER: 231179270 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_1692222427.xml FORM 4 X0508 4 2023-08-14 0 0001726978 Goosehead Insurance, Inc. GSHD 0001736768 Jones Mark Evan C/O GOOSEHEAD INSURANCE, INC. 1500 SOLANA BLVD., BUILDING 4, STE 4500 WESTLAKE TX 76262 1 1 1 1 CEO Member of 10% owner group 0 Class A Common Stock 2023-08-14 4 M 0 8854 10 A 205355 D Class A Common Stock 2023-08-14 4 S 0 8570 62.88 D 196785 D Class A Common Stock 2023-08-14 4 S 0 284 63.69 D 196501 D Class A Common Stock 2023-08-15 4 M 0 6104 10 A 202605 D Class A Common Stock 2023-08-15 4 S 0 6104 62.10 D 196501 D Employee Stock Options (right to buy) 10 2023-08-14 4 M 0 8854 10 D 2028-04-26 Class A Common Stock 8854 51428 D Employee Stock Options (right to buy) 10 2023-08-15 4 M 0 6104 10 D 2028-04-26 Class A Common Stock 6104 45324 D This does not reflect shares directly held by the reporting person's spouse, who is independently a reporting person of the issuer. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $62.48 to $63.47, inclusive. The reporting person undertakes to provide to the issuer, any security holder of the issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote to this Form 4. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $63.48 to $64.07, inclusive. The reporting person undertakes to provide to the issuer, any security holder of the issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote to this Form 4. One third (1/3rd) of the option, which represents the right to purchase a total of 320,000 shares, vested and became exercisable, subject to continued employment, on each of the second, third and fourth anniversaries of the grant date, which was April 26, 2018. /s/ John O'Connor, as Attorney-in-Fact for Mark Evan Jones 2023-08-16