Form Type: 4

SEC EDGAR Link
Accession Number:0001726978-21-000110
Date:2021-05-25
Issuer: GOOSEHEAD INSURANCE, INC. (GSHD)
Original Submission Date:

Reporting Person:

MARK & ROBYN JONES DESCENDANTS TRUST 2014
C/O GOOSEHEAD INSURANCE, INC.
1500 SOLANA BLVD., BLDG 4, STE 4500 WESTLAKE, TX 76262

Reporting Person:

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

Reporting Person:

JONES ROBYN MARY ELIZABETH
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 2021-05-25 C 32,392 d $0.00 10,455,264 f1 direct
CLASS A COMMON STOCK 2021-05-25 C 32,392 a $0.00 32,392 f1 direct
CLASS A COMMON STOCK 2021-05-25 S 1,700 d $83.95 30,692 f1 direct
CLASS A COMMON STOCK 2021-05-25 S 28,684 d $85.01 2,008 f1 direct
CLASS A COMMON STOCK 2021-05-25 S 1,808 d $85.47 200 f1 direct
CLASS A COMMON STOCK 2021-05-25 S 200 d $86.46 0 f1 direct
CLASS B COMMON STOCK 2021-05-26 C 24,193 d $0.00 10,431,071 f1 direct
CLASS A COMMON STOCK 2021-05-26 C 24,193 a $0.00 24,193 f1 direct
CLASS A COMMON STOCK 2021-05-26 S 3,200 d $85.39 20,993 f1 direct
CLASS A COMMON STOCK 2021-05-26 S 4,547 d $86.48 16,446 f1 direct
CLASS A COMMON STOCK 2021-05-26 S 16,446 d $87.35 0 f1 direct
CLASS B COMMON STOCK 2021-05-27 C 13,144 d $0.00 10,417,927 f1 direct
CLASS A COMMON STOCK 2021-05-27 C 13,144 a $0.00 13,144 f1 direct
CLASS A COMMON STOCK 2021-05-27 S 1,751 d $86.14 11,393 f1 direct
CLASS A COMMON STOCK 2021-05-27 S 1,450 d $87.22 9,943 f1 direct
CLASS A COMMON STOCK 2021-05-27 S 8,693 d $88.01 1,250 f1 direct
CLASS A COMMON STOCK 2021-05-27 S 1,250 d $88.79 0 f1 direct
CLASS B COMMON STOCK 2021-05-25 0 $0.00 182,349 f9 direct
CLASS A COMMON STOCK 2021-05-25 0 $0.00 286,201 f9 direct
CLASS A COMMON STOCK 2021-05-25 0 $0.00 333,790 f10 direct
CLASS B COMMON STOCK 2021-05-25 0 $0.00 132,349 f10 direct
CLASS B COMMON STOCK 2021-05-25 0 $0.00 1,860,355 indirect f11
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 2021-05-25 deemed execution date C 32,392 (d) class a common stock 32,392 $0.00 10,455,264 direct
LLC UNITS IN GOOSEHEAD FINANCIAL, LLC 0.0 2021-05-26 deemed execution date C 24,193 (d) class a common stock 24,193 $0.00 10,431,071 direct
LLC UNITS IN GOOSEHEAD FINANCIAL, LLC 0.0 2021-05-27 deemed execution date C 13,144 (d) class a common stock 13,144 $0.00 10,417,927 direct
LLC UNITS IN GOOSEHEAD FINANCIAL, LLC 0.0 2021-05-25 deemed execution date 0 ( ) class a common stock 182,349 $0.00 182,349 direct
LLC UNITS IN GOOSEHEAD FINANCIAL, LLC 0.0 2021-05-25 deemed execution date 0 ( ) class a common stock 132,349 $0.00 132,349 direct
LLC UNITS IN GOOSEHEAD FINANCIAL, LLC 0.0 2021-05-25 deemed execution date 0 ( ) class a common stock 1,860,355 $0.00 1,860,355 indirect by trust
Footnotes
IDfootnote
f1 reflects shares of class a common stock, shares of class b common stock or llc units, as applicable, held (i) directly by the mark & robyn jones descendants trust 2014 and (ii) indirectly by mark evan jones and robyn mary elizabeth jones, who serve as trustees of the mark & robyn jones descendants trust 2014 and whose immediate family members are beneficiaries of the mark & robyn jones descendants trust 2014.
f2 the price reported in column 4 is a weighted average price. these shares were sold in multiple transactions at prices ranging from $83.28 to $84.24, inclusive. the reporting person trust 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 $84.31 to $85.30, inclusive. the reporting person trust 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 $85.31 to $86.01, inclusive. the reporting person trust 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 $86.35 to $86.57, inclusive. the reporting person trust 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 the price reported in column 4 is a weighted average price. these shares were sold in multiple transactions at prices ranging from $84.72 to $85.70, inclusive. the reporting person trust 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.
f7 the price reported in column 4 is a weighted average price. these shares were sold in multiple transactions at prices ranging from $85.80 to $86.79, inclusive. the reporting person trust 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.
f8 the price reported in column 4 is a weighted average price. these shares were sold in multiple transactions at prices ranging from $86.81 to $87.66, inclusive. the reporting person trust 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.
f9 reflects shares of class a common stock, shares of class b common stock or llc units, as applicable, held directly by mark evan jones, and does not reflect class a common stock, shares of class b common stock or llc units, as applicable, held by his spouse, robyn mary elizabeth jones, who is independently a reporting person of the issuer.
f10 reflects shares of class a common stock, shares of class b common stock or llc units, as applicable, held directly by robyn mary elizabeth jones, and does not reflect class a common stock, shares of class b common stock or llc units, as applicable, held by her spouse, mark evan jones, who is independently a reporting person of the issuer.
f11 reflects shares of class b common stock or llc units, as applicable, held indirectly by mark evan jones and robyn mary elizabeth jones, who serve as trustees of various trusts and whose immediate family members are beneficiaries of such trusts.
f12 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.
f13 does not reflect shares of class a common stock, shares of class b common stock or llc units, as applicable, held directly by the reporting person individuals, who are each independently a reporting person of the issuer.

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