Goosehead Insurance, Inc. — Director's Dealing 2021

Mar 9, 2021

SEC Form 3 — Initial Statement of Beneficial Ownership

Issuer: Goosehead Insurance, Inc. (GSHD)
CIK: 0001726978
Period of Report: 2021-03-08

Reporting Person: Ryan Langston 2021 Family Trust (10% Owner, Member of 10% owner group)

Holdings (Non-Derivative)

Security	Shares	Ownership
Class B Common Stock	82500	Direct

Holdings (Derivative)

Security	Exercise Price	Expiration	Underlying	Shares	Ownership
LLC Units in Goosehead Financial, LLC	$0.0		Class A Common Stock (82500.0)		Direct

Footnotes

F1: The reporting person disclaims beneficial ownership of the securities reported herein except to the extent of its pecuniary interest therein.

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.