Goosehead Insurance, Inc. — Director's Dealing 2021

Sep 23, 2021

SEC Form 4/A — Form 4/A

Issuer: Goosehead Insurance, Inc. (GSHD)
CIK: 0001726978
Period of Report: 2021-08-30

Reporting Person: Colby Mark S. (CFO)

Derivative Transactions

Date	Security	Exercise Price	Code	Shares	A/D	Expiration	Underlying	Ownership
2021-08-30	Employee Stock Options (right to buy)	$10.0	M	8488	Disposed	2028-04-26	Class A Stock (8488.0)	Direct
2021-09-01	Employee Stock Options (right to buy)	$10.0	M	10000	Disposed	2028-04-26	Class A Stock (10000.0)	Direct

Footnotes

F1: One third (1/3rd) of the shares subject to the option shall vest and become exercisable, subject to continued employment, on each of the second, third and fourth anniversaries of the grant date; provided, that all shares subject to the option will vest and become exercisable if Mr. Colby's employment is terminated without "cause" or for "good reason" (each as defined in either Mr. Colby's option award agreement or the issuer's omnibus incentive plan) within six month following a "change in control" (as defined in the issuer's omnibus incentive plan).

F2: Added transaction to correspond the disposition of stock options with the number of disposed option shares reported in Table 1 of the original Form.

F3: Amended to correspond the number of stock options disposed with the number of disposed option shares reported in Table 1 of the original Form.