0001726978-18-000014.txt : 20180814
0001726978-18-000014.hdr.sgml : 20180814
20180814104423
ACCESSION NUMBER: 0001726978-18-000014
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180810
FILED AS OF DATE: 20180814
DATE AS OF CHANGE: 20180814
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Burks Drew
CENTRAL INDEX KEY: 0001737235
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38466
FILM NUMBER: 181015146
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
wf-form4_153425784462580.xml
FORM 4
X0306
4
2018-08-10
0
0001726978
Goosehead Insurance, Inc.
GSHD
0001737235
Burks Drew
C/O GOOSEHEAD INSURANCE, INC.
1500 SOLANA BLVD., BLDG 4, SUITE 4500
WESTLAKE
TX
76262
0
1
0
0
Chief Information Officer
Class A Common Stock
2018-08-10
4
P
0
39
27.48
A
39
D
/s/ P. Ryan Langston, as Attorney-in-Fact for Drew Burks
2018-08-13