Accession Number: | 0001726978-21-000112 |
Date: | 2021-05-28 |
Issuer: | GOOSEHEAD INSURANCE, INC. (GSHD) |
Original Submission Date: |
BURKS DREW
C/O GOOSEHEAD INSURANCE, INC.
1500 SOLANA BLVD., BLDG 4, SUITE 4500
WESTLAKE, TX 76262
Title of Security | Transaction Date | 2a. Deemed Execution Date | Transaction Code | Shares | Acquired or Disposed | Price per share | 5. Amount of Securities Beneficially Owned Following Reported Transaction | 6. Ownership Form Direct or Indirect | Nature of Indirect Ownership |
---|---|---|---|---|---|---|---|---|---|
CLASS A COMMON STOCK | 2021-05-28 | M | 1,000 | a | $10.00 | 1,039 | direct | ||
CLASS A COMMON STOCK | 2021-05-28 | S | 1,000 | d | $90.69 | 39 | direct |
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 Exercisable | Expiration 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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|
EMPLOYEE STOCK OPTIONS | 10.0 | 2021-05-28 | deemed execution date | M | 1,000 (d) | 2028-04-26 | class a stock 1,000 | $10.00 | 34,500 | direct |
ID | footnote |
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f1 | one third (1/3rd) of the shares subject to the option shall vest and become exercisable, subject to continued employment, on each of the second, third and fourth anniversaries of the grant date; provided, that all shares subject to the option will vest and become exercisable if mr. burks' employment is terminated without "cause" or for "good reason" (each as defined in either mr. burks' option award agreement or the issuer's omnibus incentive plan) within six month following a "change in control" (as defined in the issuer's omnibus incentive plan). |