KEBODEAUX ADRIENNE 4

4 · Goosehead Insurance, Inc. · Filed Nov 29, 2023

Form 4

Period: 2023-11-27

10% OwnerOther

Transactions

Conversion
Class B Common Stock
[F1]
2023-11-27−15,000→ 63,530 total
Conversion
Class A Common Stock
[F1]
2023-11-27+15,000→ 15,000 total
Sale
Class A Common Stock
[F2][F1]
2023-11-27$73.15/sh−15,000$1,097,250→ 0 total
Conversion
LLC Units in Goosehead Financial, LLC
[F5][F1]
2023-11-27−15,000→ 63,530 total
Exercise: $0.00→ Class A Common Stock (15,000 underlying)

Holdings

Class B Common Stock
[F3][F4]
338,027
LLC Units in Goosehead Financial, LLC
[F5][F3][F4]
Exercise: $0.00→ Class A Common Stock (338,027 underlying)
338,027

Footnotes (5)

[F1]Reflects shares of Class A Common Stock, shares of Class B Common Stock or LLC Units, as applicable, held (i) directly by Chick and The Bear Irrevocable Trust and (ii) indirectly by Adrienne Kebodeaux, who serves as trustee of Chick and The Bear Irrevocable Trust and whose immediate family members are beneficiaries of Chick and The Bear Irrevocable Trust.
[F2]The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $73.00 to $73.74, 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]Reflects a reduction in shares due to a same-day sale by Adrienne Kebodeaux, a separate reporting person and for which a separate Form 4 will be filed.
[F4]Reflects shares of Class A Common Stock, shares of Class B Common Stock or LLC Units, as applicable, held directly by Adrienne Kebodeaux.
[F5]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.

Documents

1 file