SLJ 2023 Grantor Retained Annuity Trust 3
3 · Goosehead Insurance, Inc. · Filed Jun 28, 2023
Insider Transaction Report
Form 3
SLJ 2023 Grantor Retained Annuity Trust
10% OwnerOther
Holdings
- 161,094
Class B Common Stock
[F1] LLC Units in Goosehead Financial, LLC
[F2]Exercise: $0.00→ Class A Common Stock (161,094 underlying)
Footnotes (2)
- [F1]The reporting person disclaims beneficial ownership of the securities reported herein except to the extent of its pecuniary interest in them.
- [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.
Signature
/s/ Mark E. Jones as Attorney-in-Fact for SLJ 2023 Grantor Retained Annuity Trust|2023-06-28