SEC Form 4 · accession 0001726978-18-000023

Goosehead Insurance, Inc. · GSHD

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Officer — CEO · Director · 10% Owner · Other

Period of report

Nov 13, 2018

Accepted (ET)

Nov 15, 2018 · 3:21 pm EST

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 B Common Stock^F1	Nov 13, 2018	C	1,817	$27.0285	D	15,188,926	I	By Mark and Robyn Jones Descendants Trust 2014
Class A Common Stock^F1	Nov 13, 2018	C	1,817	$27.0285	A	1,750,098	I	By Mark and Robyn Jones Descendants Trust 2014
Class A Common Stock^F1	Nov 13, 2018	S	1,817	$27.0285	D	1,748,281	I	By Mark and Robyn Jones Descendants Trust 2014
Class A Common Stock	holding	—	—		—	757,890	D
Class B Common Stock	holding	—	—		—	171,633	D

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
LLC Units in Goosehead Financial, LLC^F1,F2	$0.00	Nov 13, 2018	C	1,817	D	—	—	Class A Common Stock	1,817	15,188,926	I
LLC Units in Goosehead Financial, LLC^F2	$0.00	holding	—	—	—	—	—	Class A Common Stock	171,633	171,633	D

F1Reflects shares of Class A Common Stock, shares of Class B Common Stock or LLC Units, as applicable, held in trust for which the reporting person serves as a trustee and of which immediate family members of the reporting person are beneficiaries.
F2Each 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 Mark and Robyn Jones Descendants Trust 2014.