Chick & The Bear Irrevocable Trust - Dec 21, 2021 Form 3 Insider Report for Goosehead Insurance, Inc. (GSHD)

Role
Member of 10% owner group, 10%+ Owner
Signature
/s/ Mark E. Jones as Attorney-in-Fact for Chick & The Bear Irrevocable Trust
Stock symbol
GSHD
Transactions as of
Dec 21, 2021
Transactions value $
$0
Form type
3
Date filed
3/18/2022, 07:57 PM
Next filing
Nov 29, 2023

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
holding GSHD Class B Common Stock 78.5K Dec 21, 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
holding GSHD LLC Units in Goosehead Financial, LLC Dec 21, 2021 Class A Common Stock 78.5K $0.00 Direct F2
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 The reporting person disclaims beneficial ownership of the securities reported herein except to the extent of its pecuniary interest therein.
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:

By virtue of being party to a Voting Agreement, dated February 24, 2021 (the "Voting Agreement"), the reporting person on this Form 3 may be deemed to be a member of a "group" for purposes of Section 13(d) of the Securities Exchange Act of 1934, as amended, with respect to the securities reported herein with the other parties who continue to be bound by the Voting Agreement, which such "group" beneficially owns, in the aggregate, more than 10% of the outstanding shares of Class A Common Stock. Together with the reporting person on this Form 3, the parties to the Voting Agreement are SLJ Dynast Trust, Jones 2020 Irrevocable Trust, Ryan Langston 2021 Family Trust, Nathan Scott Romney, Nathan Romney 2021 Family Trust, Lindy Langston Spousal Lifetime Access Trust and Lanni Romney Spousal Lifetime Access Trust.