0001726978-24-000019.txt : 20240227 0001726978-24-000019.hdr.sgml : 20240227 20240227181638 ACCESSION NUMBER: 0001726978-24-000019 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240226 FILED AS OF DATE: 20240227 DATE AS OF CHANGE: 20240227 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Miller Mark CENTRAL INDEX KEY: 0001737949 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38466 FILM NUMBER: 24689086 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] ORGANIZATION NAME: 02 Finance 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_1709075778.xml FORM 4 X0508 4 2024-02-26 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 2024-02-26 4 P 0 2500 73.71 A 17500 D Class A Common Stock 2024-02-26 4 P 0 2500 74 A 20000 D /s/ John O'Connor, as Attorney-in-Fact for Mark Miller 2024-02-27