Accession Number: | 0001726978-21-000165 |
Date: | 2021-08-26 |
Issuer: | GOOSEHEAD INSURANCE, INC. (GSHD) |
Original Submission Date: |
COLBY MICHAEL C.
C/O GOOSEHEAD INSURANCE, INC.
1500 SOLANA BLVD., BUILDING 4, STE 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 B COMMON STOCK | 2021-08-26 | C | 4,394 | d | $0.00 | 621,732 | indirect | f1 | |
CLASS A COMMON STOCK | 2021-08-26 | C | 4,394 | a | $0.00 | 87,796 | indirect | f1 | |
CLASS A COMMON STOCK | 2021-08-26 | S | 4,394 | d | $130.06 | 83,402 | indirect | f1 | |
CLASS B COMMON STOCK | 2021-08-26 | 0 | $0.00 | 427,024 | direct | ||||
CLASS A COMMON STOCK | 2021-08-26 | 0 | $0.00 | 23,131 | direct | ||||
CLASS B COMMON STOCK | 2021-08-26 | 0 | $0.00 | 36,396 | indirect | f1 | |||
CLASS B COMMON STOCK | 2021-08-26 | 0 | $0.00 | 36,396 | indirect | f1 |
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|
LLC UNITS IN GOOSEHEAD FINANCIAL, LLC | 0.0 | 2021-08-26 | deemed execution date | C | 4,394 (d) | class a common stock 4,394 | $0.00 | 621,732 | indirect | by colby 2014 family trust | ||
LLC UNITS IN GOOSEHEAD FINANCIAL, LLC | 0.0 | deemed execution date | 0 ( ) | class a common stock 427,024 | $0.00 | 427,024 | direct | |||||
LLC UNITS IN GOOSEHEAD FINANCIAL, LLC | 0.0 | deemed execution date | 0 ( ) | class a common stock 36,396 | $0.00 | 36,396 | indirect | by lyla kate colby 2014 trust | ||||
LLC UNITS IN GOOSEHEAD FINANCIAL, LLC | 0.0 | deemed execution date | 0 ( ) | class a common stock 36,396 | $0.00 | 36,396 | indirect | by preston michael colby 2014 trust |
ID | footnote |
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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 | 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. |