Goosehead Insurance, Inc. — Director's Dealing 2021

Nov 5, 2021

SEC Form 4 — Statement of Changes in Beneficial Ownership

Issuer: Goosehead Insurance, Inc. (GSHD)
CIK: 0001726978
Period of Report: 2021-11-04

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

Non-Derivative Transactions

Date	Security	Code	Shares	Price	A/D	Holdings After	Ownership
2021-11-04	Class B Common Stock	C	1522	—	Disposed	34874	Indirect
2021-11-04	Class A Common Stock	C	1522	—	Acquired	1522	Indirect
2021-11-04	Class A Common Stock	S	1522	$140.0765	Disposed	0	Indirect
2021-11-04	Class B Common Stock	C	1523	—	Disposed	34873	Indirect
2021-11-04	Class A Common Stock	C	1523	—	Acquired	1523	Indirect
2021-11-04	Class A Common Stock	S	1523	$140.0765	Disposed	0	Indirect
2021-11-05	Class B Common Stock	C	1978	—	Disposed	32896	Indirect
2021-11-05	Class A Common Stock	C	1978	—	Acquired	1978	Indirect
2021-11-05	Class A Common Stock	S	1978	$140.2027	Disposed	0	Indirect
2021-11-05	Class B Common Stock	C	1977	—	Disposed	32896	Indirect
2021-11-05	Class A Common Stock	C	1977	—	Acquired	1977	Indirect
2021-11-05	Class A Common Stock	S	1977	$140.2027	Disposed	0	Indirect

Derivative Transactions

Date	Security	Exercise Price	Code	Shares	A/D	Expiration	Underlying	Ownership
2021-11-04	LLC Units in Goosehead Financial, LLC	$0.0	C	1522	Disposed		Class A Common Stock (1522.0)	Indirect
2021-11-04	LLC Units in Goosehead Financial, LLC	$0.0	C	1523	Disposed		Class A Common Stock (1523.0)	Indirect
2021-11-05	LLC Units in Goosehead Financial, LLC	$0.0	C	1978	Disposed		Class A Common Stock (1978.0)	Indirect
2021-11-05	LLC Units in Goosehead Financial, LLC	$0.0	C	1977	Disposed		Class A Common Stock (1977.0)	Indirect

Holdings (Non-Derivative)

Security	Shares	Ownership
Class B Common Stock	427024	Direct
Class A Common Stock	23131	Direct
Class B Common Stock	621732	Indirect
Class A Common Stock	83402	Indirect

Holdings (Derivative)

Security	Exercise Price	Expiration	Underlying	Shares	Ownership
LLC Units in Goosehead Financial, LLC	$0.0		Class A Common Stock (427024.0)	427024	Direct
LLC Units in Goosehead Financial, LLC	$0.0		Class A Common Stock (621732.0)	621732	Indirect

Footnotes

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: The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $140.00 to $140.09, 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: The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $140.20 to $140.24, 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.

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.