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Jones Serena – ‘4’ for 1/21/20 re: Goosehead Insurance, Inc.

On:  Thursday, 1/23/20, at 4:10pm ET   ·   For:  1/21/20   ·   Accession #:  1726978-20-36   ·   File #:  1-38466

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  As Of               Filer                 Filing    For·On·As Docs:Size             Issuer                      Filing Agent

 1/23/20  Jones Serena                      4                      1:8K   Goosehead Insurance, Inc.         Goosehead Ins, Inc.

Statement of Changes in Beneficial Ownership of Securities by an Insider   —   Form 4   —   SEA’34
Filing Table of Contents

Document/Exhibit                   Description                      Pages   Size 

 1: 4           Statement of Changes in Beneficial Ownership of     HTML      3K 
                Securities by an Insider --                                      
                wf-form4_157981383675172.xml/3.6


        

This ‘4’ Document is an XML Data File that may be rendered in various formats:

  Form 4    –   Plain Text   –  SEC Website  –  EDGAR System  –    XML Data    –  <?xml?> File
 
 
Plain Text rendering:  Statement of Changes in Beneficial Ownership of Securities by an Insider — wf-form4_157981383675172.xml/3.6
 
                                                                                                                                                                                
Ownership Document
 
Schema Version:  X0306
Document Type:  4
Period of Report:  1/21/20
Not Subject to Section 16:  0
Issuer:
Issuer CIK:  1726978
Issuer Name:  Goosehead Insurance, Inc.
Issuer Trading Symbol:  GSHD
Reporting Owner:
Reporting Owner ID:
Owner CIK:  1737783
Owner Name:  Jones Serena
Reporting Owner Address:
Owner Street 1:  C/O GOOSEHEAD INSURANCE, INC.
Owner Street 2:  1500 SOLANA BLVD., BLDG 4, STE 4500
Owner City:  WESTLAKE
Owner State:  TX
Owner ZIP Code:  76262
Owner State Description:
Reporting Owner Relationship:
Is Director?  No
Is Officer?  No
Is Ten Percent Owner?  Yes
Is Other?  Yes
Officer Title:
Other Text:  Member of 10% owner group
Non-Derivative Table:
Non-Derivative Transaction:
Security Title:
Value:  Class B Common Stock
Transaction Date:
Value:  1/21/20
Transaction Coding:
Transaction Form Type:  4
Transaction Code:  C
Equity Swap Involved?  No
Transaction Amounts:
Transaction Shares:
Value:  500
Transaction Price Per Share:
Value:  0
Transaction Acquired-Disposed Code:
Value:  D
Post-Transaction Amounts:
Shares Owned Following Transaction:
Value:  983,574
Ownership Nature:
Direct or Indirect Ownership:
Value:  D
Non-Derivative Transaction:
Security Title:
Value:  Class A Common Stock
Transaction Date:
Value:  1/21/20
Transaction Coding:
Transaction Form Type:  4
Transaction Code:  C
Equity Swap Involved?  No
Transaction Amounts:
Transaction Shares:
Value:  500
Transaction Price Per Share:
Value:  0
Transaction Acquired-Disposed Code:
Value:  A
Post-Transaction Amounts:
Shares Owned Following Transaction:
Value:  500
Ownership Nature:
Direct or Indirect Ownership:
Value:  D
Non-Derivative Transaction:
Security Title:
Value:  Class A Common Stock
Transaction Date:
Value:  1/21/20
Transaction Coding:
Transaction Form Type:  4
Transaction Code:  S
Equity Swap Involved?  No
Transaction Amounts:
Transaction Shares:
Value:  500
Transaction Price Per Share:
Value:  47.048
Footnote ID:  F1
Transaction Acquired-Disposed Code:
Value:  D
Post-Transaction Amounts:
Shares Owned Following Transaction:
Value:  0
Ownership Nature:
Direct or Indirect Ownership:
Value:  D
Derivative Table:
Derivative Transaction:
Security Title:
Value:  LLC Units in Goosehead Financial, LLC
Conversion or Exercise Price:
Value:  0.0
Transaction Date:
Value:  1/21/20
Transaction Coding:
Transaction Form Type:  4
Transaction Code:  C
Equity Swap Involved?  No
Transaction Amounts:
Transaction Shares:
Value:  500
Transaction Price Per Share:
Value:  0
Transaction Acquired-Disposed Code:
Value:  D
Exercise Date:
Footnote ID:  F2
Expiration Date:
Footnote ID:  F2
Underlying Security:
Underlying Security Title:
Value:  Class A Common Stock
Underlying Security Shares:
Value:  500.0
Post-Transaction Amounts:
Shares Owned Following Transaction:
Value:  983,574
Ownership Nature:
Direct or Indirect Ownership:
Value:  D
Footnotes:
Footnote - F1:  The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $47.00 to $47.08, 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.
Footnote - F2:  Each 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.
Owner Signature:
Signature Name:  /s/ P. Ryan Langston, as Attorney-in-Fact for Serena Jones
Signature Date:  1/23/20


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Filing Submission 0001726978-20-000036   –   Alternative Formats (Word / Rich Text, HTML, Plain Text, et al.)
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