SEC Form 4 · accession 0000950103-18-005876
Goosehead Insurance, Inc. · GSHD
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Michael Patrick Moxley
Officer — VP of Service Delivery
Period of report
May 1, 2018
Accepted (ET)
May 3, 2018 · 8:54 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.