Goosehead Insurance, Inc. — Director's Dealing 2021

Dec 30, 2021

SEC Form 4 — Statement of Changes in Beneficial Ownership

Issuer: Goosehead Insurance, Inc. (GSHD)
CIK: 0001726978
Period of Report: 2021-12-29

Reporting Person: Colby Michael C. (President and COO)

Non-Derivative Transactions

Date	Security	Code	Shares	Price	A/D	Holdings After	Ownership
2021-12-29	Class B Common Stock	C	801	—	Disposed	400632	Direct
2021-12-29	Class A Common Stock	C	801	—	Acquired	23932	Direct
2021-12-29	Class A Common Stock	S	801	$130.1461	Disposed	23131	Direct

Derivative Transactions

Date	Security	Exercise Price	Code	Shares	A/D	Expiration	Underlying	Ownership
2021-12-29	LLC Units in Goosehead Financial, LLC	$0.0	C	801	Disposed		Class A Common Stock (801.0)	Direct

Holdings (Non-Derivative)

Security	Shares	Ownership
Class B Common Stock	595341	Indirect
Class A Common Stock	83402	Indirect
Class B Common Stock	32896	Indirect
Class B Common Stock	32896	Indirect

Holdings (Derivative)

Security	Exercise Price	Expiration	Underlying	Shares	Ownership
LLC Units in Goosehead Financial, LLC	$0.0		Class A Common Stock (595431.0)	595431	Indirect
LLC Units in Goosehead Financial, LLC	$0.0		Class A Common Stock (32896.0)	32896	Indirect
LLC Units in Goosehead Financial, LLC	$0.0		Class A Common Stock (32896.0)	32896	Indirect

Footnotes

F1: The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $130.00 to $130.54, 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.

F2: 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.

F3: Each LLC Unit, together with a share of Class B Sommon Stock, may be converted by the holder into one share of Class A Common Stock at any time. The LLC Units do not expire.

F4: 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.