Mark S. Colby - Dec 31, 2021 Form 5 Insider Report for Goosehead Insurance, Inc. (GSHD)

Role
CFO
Signature
/s/ P. Ryan Langston, as Attorney-in-Fact for Mark S. Colby
Stock symbol
GSHD
Transactions as of
Dec 31, 2021
Transactions value $
$0
Form type
5
Date filed
2/14/2022, 02:30 PM
Previous filing
Sep 23, 2021
Next filing
Jan 5, 2022

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction GSHD Class B Common Stock Gift $0 -15.4K -25.16% $0.00 45.8K Dec 1, 2021 Direct F1

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Underlying Class Amount Exercise Price Ownership Footnotes
transaction GSHD LLC Units in Goosehead Financial, LLC Gift $0 -15.4K -25.16% $0.00 45.8K Dec 1, 2021 Class A Common Stock 15.4K $0.00 Direct F2
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 This transaction involved a gift of securities by the reporting person to the M&C Colby Irrevocable Trust, which securities are not indirectly held by the reporting person.
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.