0000950103-20-024604.txt : 20201222
0000950103-20-024604.hdr.sgml : 20201222
20201222170711
ACCESSION NUMBER: 0000950103-20-024604
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20201218
FILED AS OF DATE: 20201222
DATE AS OF CHANGE: 20201222
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Kristopher A. Wiebeck 2019 Grantor Retained Annuity Trust Dated September 30, 2019
CENTRAL INDEX KEY: 0001791793
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39095
FILM NUMBER: 201408896
BUSINESS ADDRESS:
STREET 1: 4010 W. BOY SCOUT BLVD. SUITE 200
CITY: TAMPA
STATE: FL
ZIP: 33607
BUSINESS PHONE: 813-984-3200
MAIL ADDRESS:
STREET 1: 4010 W. BOY SCOUT BLVD. SUITE 200
CITY: TAMPA
STATE: FL
ZIP: 33607
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
dp143303_4-wiebeck2019.xml
FORM 4
X0306
4
2020-12-18
0
0001781755
BRP Group, Inc.
BRP
0001791793
Kristopher A. Wiebeck 2019 Grantor Retained Annuity Trust Dated September 30, 2019
4010 W. BOY SCOUT BLVD. SUITE 200
TAMPA
FL
33607
0
0
0
1
Member of 10% owner group
Class B Common Stock
2020-12-18
4
S
0
20000
0
D
431427
D
LLC Units in Baldwin Risk Partners, LLC
0
2020-12-18
4
S
0
20000
28.2463
D
Class A Common Stock
20000
431427
D
Each LLC Unit, together with one 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/ Christopher J. Stephens, as Attorney-in Fact, for By Kristopher A. Wiebeck 2019 Grantor Retained Annuity Trust Dated September 30, 2019
2020-12-22