0001726978-22-000072.txt : 20220517 0001726978-22-000072.hdr.sgml : 20220517 20220517170208 ACCESSION NUMBER: 0001726978-22-000072 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220513 FILED AS OF DATE: 20220517 DATE AS OF CHANGE: 20220517 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Cruzado Waded CENTRAL INDEX KEY: 0001908556 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38466 FILM NUMBER: 22935558 MAIL ADDRESS: STREET 1: C/O GOOSEHEAD INSURANCE, INC. STREET 2: 1500 SOLANA BLVD, 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_165282125436360.xml FORM 4 X0306 4 2022-05-13 0 0001726978 Goosehead Insurance, Inc. GSHD 0001908556 Cruzado Waded 1500 SOLANA BOULEVARD SUITE 4500 WESTLAKE TX 76262 1 0 0 0 Director Stock Options (right to buy) 48.15 2022-05-13 4 A 0 10000 0 A 2032-05-13 Class A Common Stock 10000.0 10000 D The shares subject to the option shall vest and become exercisable, subject to continued service, in 12 equal quarterly installments over the three (3) year period following the grant date; provided, that all shares subject to the option will vest and become exercisable upon a "change in control" (as defined in the Issuer's Amended and Restated Omnibus Incentive Plan). /s/ P. Ryan Langston as Attorney-in-Fact for Waded Cruzado 2022-05-17