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