Goosehead Insurance, Inc. — Director's Dealing 2021

Aug 27, 2021

SEC Form 4 — Statement of Changes in Beneficial Ownership

Issuer: Goosehead Insurance, Inc. (GSHD)
CIK: 0001726978
Period of Report: 2021-08-26

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

Non-Derivative Transactions

Date	Security	Code	Shares	Price	A/D	Holdings After	Ownership
2021-08-26	Class B Common Stock	C	4394	—	Disposed	621732	Indirect
2021-08-26	Class A Common Stock	C	4394	—	Acquired	87796	Indirect
2021-08-26	Class A Common Stock	S	4394	$130.06	Disposed	83402	Indirect

Derivative Transactions

Date	Security	Exercise Price	Code	Shares	A/D	Expiration	Underlying	Ownership
2021-08-26	LLC Units in Goosehead Financial, LLC	$0.0	C	4394	Disposed		Class A Common Stock (4394.0)	Indirect

Holdings (Non-Derivative)

Security	Shares	Ownership
Class B Common Stock	427024	Direct
Class A Common Stock	23131	Direct
Class B Common Stock	36396	Indirect
Class B Common Stock	36396	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 (36396.0)	36396	Indirect
LLC Units in Goosehead Financial, LLC	$0.0		Class A Common Stock (36396.0)	36396	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: 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.