Form Type: 4

SEC EDGAR Link
Accession Number:0001726978-21-000102
Date:2021-05-19
Issuer: GOOSEHEAD INSURANCE, INC. (GSHD)
Original Submission Date:

Reporting Person:

JONES MARK EVAN
C/O GOOSEHEAD INSURANCE, INC.
1500 SOLANA BLVD., BUILDING 4, STE 4500 WESTLAKE, TX 76262

Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
Title of SecurityTransaction Date2a. Deemed Execution Date Transaction CodeSharesAcquired or DisposedPrice per share 5. Amount of Securities Beneficially Owned Following Reported Transaction 6. Ownership Form Direct or IndirectNature of Indirect Ownership
CLASS B COMMON STOCK 2021-05-19 C 26,398 d $0.00 12,428,220 indirect f1
CLASS A COMMON STOCK 2021-05-19 C 26,398 a $0.00 26,398 indirect
CLASS A COMMON STOCK 2021-05-19 S 6,556 d $80.87 19,842 indirect
CLASS A COMMON STOCK 2021-05-19 S 12,925 d $82.04 6,917 indirect
CLASS A COMMON STOCK 2021-05-19 S 6,116 d $82.65 801 indirect
CLASS A COMMON STOCK 2021-05-19 S 601 d $83.90 200 indirect
CLASS A COMMON STOCK 2021-05-19 S 200 d $84.38 0 indirect
CLASS A COMMON STOCK 2021-05-19 0 $0.00 286,201 direct
CLASS B COMMON STOCK 2021-05-19 0 $0.00 182,349 direct
Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, convertible securities
Title of Derivative Security Conversion or Exercise Price of Derivative Security Transaction Date Deemed Execution Date Transaction Code Number of Derivative Securities Acquired (A) or Disposed of (D) Date ExercisableExpiration Date Title and Amount of Securities Underlying Derivative Security Price of Derivative Security Number of derivative Securities Beneficially Owned Following Reported Transaction(s) Ownership Form: Direct (D) or Indirect (I) Nature of Indirect Beneficial Ownership
LLC UNITS IN GOOSEHEAD FINANCIAL, LLC 0.0 2021-05-19 deemed execution date C 26,398 (d) class a common stock 26,398 $0.00 12,428,220 indirect by trust
LLC UNITS IN GOOSEHEAD FINANCIAL, LLC 0.0 2021-05-19 deemed execution date 0 ( ) class a common stock 182,349 $0.00 182,349 direct
Footnotes
IDfootnote
f1 reflects shares of class a common stock, shares of class b common stock or llc units, as applicable, held in trust for which the reporting person serves as a trustee and of which immediate family members of the reporting person are beneficiaries.
f2 the price reported in column 4 is a weighted average price. these shares were sold in multiple transactions at prices ranging from $80.36 to $81.32, 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 the price reported in column 4 is a weighted average price. these shares were sold in multiple transactions at prices ranging from $81.36 to $82.35, 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.
f4 the price reported in column 4 is a weighted average price. these shares were sold in multiple transactions at prices ranging from $82.37 to $83.35, 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.
f5 the price reported in column 4 is a weighted average price. these shares were sold in multiple transactions at prices ranging from $83.37 to $84.05, 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.
f6 this does not reflect shares directly held by the reporting person's spouse, who is independently a reporting person of the issuer.
f7 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.

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