Serena Jones - 26 Jun 2023 Form 4 Insider Report for Goosehead Insurance, Inc. (GSHD)

Role
Member of 10% owner group, 10%+ Owner
Signature
/s/ P. Ryan Langston, as Attorney-in-Fact for Serena Jones
Issuer symbol
GSHD
Transactions as of
26 Jun 2023
Net transactions value
$0
Form type
4
Filing time
28 Jun 2023, 18:44:05 UTC
Previous filing
30 May 2023
Next filing
31 Aug 2023
SEC
View on sec.gov

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction GSHD Class B Common Stock Gift $0 -161,094 -27% $0.000000 443,442 26 Jun 2023 Direct
transaction GSHD Class B Common Stock Gift $0 +161,094 $0.000000 161,094 26 Jun 2023 SLJ 2023 Grantor Retained Annuity Trust
holding GSHD Class B Common Stock 179,246 26 Jun 2023 SLJ Dynasty Trust

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 -161,094 -27% $0.000000 443,442 26 Jun 2023 Class A Common Stock 161,094 $0.000000 Direct F1
transaction GSHD LLC Units in Goosehead Financial, LLC Gift $0 +161,094 $0.000000 161,094 26 Jun 2023 Class A Common Stock 161,094 $0.000000 SLJ 2023 Grantor Retained Annuity Trust F1
holding GSHD LLC Units in Goosehead Financial, LLC 179,246 26 Jun 2023 Class A Common Stock 179,246 $0.000000 SLJ Dynasty Trust F1
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 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:

This transaction involved a gift of securities by the reporting person to the SLJ 2023 Grantor Retained Annuity Trust.