SEC Form 4 · accession 0001726978-19-000001
Goosehead Insurance, Inc. · GSHD
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Mark & Robyn Jones Descendants Trust 2014
10% Owner · Other
Period of report
Dec 31, 2018
Accepted (ET)
Jan 2, 2019 · 6:01 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 | Dec 31, 2018 | C | 309 | $0.00 | D | 13,203,191 | D | |
| Class A Common Stock | Dec 31, 2018 | C | 309 | $0.00 | A | 1,748,590 | D | |
| Class A Common Stock | Dec 31, 2018 | S | 309 | $27.00 | D | 1,748,281 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| LLC Units in Goosehead Financial, LLCF1 | $0.00 | Dec 31, 2018 | C | 309 | D | — | — | Class A Common Stock | 309 | 13,203,191 | D |
Explanation of responses
- F1Each 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.
Remarks
The sales reported were effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person.