SEC Form 4 · accession 0000950103-18-005869
Goosehead Insurance, Inc. · GSHD
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Patrick Ryan Langston
Officer — VP and General Counsel
Period of report
May 1, 2018
Accepted (ET)
May 3, 2018 · 8:17 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001726978
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Class A Common StockF1 | May 1, 2018 | A | 37,137 | $0.00 | A | 37,137 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1These securities were acquired by the reporting person in connection with the closing of the issuer's initial public offering, in exchange for notes of the issuer held by the reporting person. These securities do not include 498,557 shares of Class B common stock held directly by the reporting person's wife (a member of a 10% owner group of the issuer) for which the reporting person disclaims beneficial ownership.