0001726978-19-000329.txt : 20191028
0001726978-19-000329.hdr.sgml : 20191028
20191028170309
ACCESSION NUMBER: 0001726978-19-000329
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20191025
FILED AS OF DATE: 20191028
DATE AS OF CHANGE: 20191028
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Coleman Desiree
CENTRAL INDEX KEY: 0001737830
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38466
FILM NUMBER: 191173734
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_157229653041625.xml
FORM 4
X0306
4
2019-10-25
0
0001726978
Goosehead Insurance, Inc.
GSHD
0001737830
Coleman Desiree
C/O GOOSEHEAD INSURANCE, INC.
1500 SOLANA BLVD., BLDG 4, STE 4500
WESTLAKE
TX
76262
0
0
1
1
Member of 10% owner group
Class B Common Stock
2019-10-25
4
C
0
200
0
D
498357
D
Class A Common Stock
2019-10-25
4
C
0
200
0
A
200
D
Class A Common Stock
2019-10-25
4
S
0
200
50
D
0
D
LLC Units in Goosehead Financial, LLC
0.0
2019-10-25
4
C
0
200
0
D
Class A Common Stock
200.0
498357
D
Each LLC Unit, together with a 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.
The sales reported were effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person.
/s/ P. Ryan Langston, as Attorney-in-Fact for Desiree Coleman
2019-10-28