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