SLJ Dynasty Trust - 27 Nov 2023 Form 4 Insider Report for Goosehead Insurance, Inc. (GSHD)

Role
Member of 10% owner group, 10%+ Owner
Signature
/s/ John O'Connor, Attorney-in-Fact for SLJ Dynasty Trust
Issuer symbol
GSHD
Transactions as of
27 Nov 2023
Net transactions value
-$2,085,316
Form type
4
Filing time
29 Nov 2023, 18:33:39 UTC
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 Conversion of derivative security $0 -28,000 -16% $0.000000 151,246 27 Nov 2023 Direct F1
transaction GSHD Class A Common Stock Conversion of derivative security $0 +28,000 $0.000000 28,000 27 Nov 2023 Direct F1
transaction GSHD Class A Common Stock Sale $2,062,819 -27,700 -99% $74.47 300 27 Nov 2023 Direct F1, F2
transaction GSHD Class A Common Stock Sale $22,497 -300 -100% $74.99 0 27 Nov 2023 Direct F1
holding GSHD Class B Common Stock 370,442 27 Nov 2023 Direct F3
holding GSHD Class B Common Stock 161,094 27 Nov 2023 SLJ 2023 Grantor Retained Annuity Trust F4

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 Conversion of derivative security $0 -28,000 -16% $0.000000 151,246 27 Nov 2023 Class A Common Stock 28,000 $0.000000 Direct F1, F5
holding GSHD LLC Units in Goosehead Financial, LLC 370,442 27 Nov 2023 Class A Common Stock 370,442 $0.000000 Direct F3, F5
holding GSHD LLC Units in Goosehead Financial, LLC 161,094 27 Nov 2023 Class A Common Stock 161,094 $0.000000 SLJ 2023 Grantor Retained Annuity Trust F4, F5
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Reflects shares of Class A Common Stock, shares of Class B Common Stock or LLC Units, as applicable, held directly by the SLJ Dynasty Trust, in which Serena Jones has a pecuniary interest.
F2 The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $73.95 to $74.86, 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.
F3 Reflects shares of Class A Common Stock, shares of Class B Common Stock or LLC Units, as applicable, held directly by Serena Jones.
F4 Reflects shares of Class B Common Stock or LLC Units, as applicable, held indirectly by Serena Jones, who serves as a trustee and whose immediate family members are beneficiaries of SLJ 2023 Grantor Retained Annuity Trust.
F5 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.