SEC Form 4 · accession 0001726978-18-000050

Goosehead Insurance, Inc. · GSHD

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

A later amendment supersedes this filing — read the amendment. The figures below are kept as originally reported (version chain, not an overwrite).

Reporting owner

Officer — Chief Financial Officer

Period of report

Dec 17, 2018

Accepted (ET)

Dec 18, 2018 · 5:04 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
Class B Common Stock^F1	Dec 17, 2018	C	1,302	$0.00	D	105,858	D
Class A Common Stock	Dec 17, 2018	C	1,302	$0.00	A	38,439	D
Class A Common Stock^F2	Dec 17, 2018	S	1,302	$27.1842	D	37,137	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,F3	$0.00	Dec 17, 2018	C	1,302	D	—	—	Class A Common Stock	1,302	105,858	D

F1Includes 107,160 shares of Class B Common Stock or LLC Units, as applicable, as a pro rata distribution from Texas Wasatch Insurance Partners, LP.
F2The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $26.72 to $27.39, inclusive. The reporting person undertakes to provide to the issuer, any security holder of the issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote to this Form 4.
F3Each 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.