Goosehead Insurance, Inc. — Director's Dealing 2021

Feb 12, 2021

SEC Form 5 — Annual Statement of Changes in Beneficial Ownership

Issuer: Goosehead Insurance, Inc. (GSHD)
CIK: 0001726978
Period of Report: 2020-12-31

Reporting Person: Langston Patrick Ryan (VP and General Counsel, 10% Owner, Member of 10% owner group)

Non-Derivative Transactions

Date	Security	Code	Shares	Price	A/D	Holdings After	Ownership
2020-11-20	Class B Common Stock	G	90275	—	Acquired	90275	Direct
2020-11-30	Class B Common Stock	G	90270	—	Disposed	5	Direct
2020-12-31	Class A Common Stock	G	10000	—	Disposed	5000	Direct

Derivative Transactions

Date	Security	Exercise Price	Code	Shares	A/D	Expiration	Underlying	Ownership
2020-11-20	LLC Units in Goosehead Financial, LLC	$0.0	G	90275	Acquired		Class A Common Stock (90275.0)	Direct
2020-11-30	LLC Units in Goosehead Financial, LLC	$0.0	G	90270	Disposed		Class A Common Stock (90270.0)	Direct

Footnotes

F1: This does not reflect shares directly held by the reporting person's spouse, who is independently a reporting person of the issuer.

F2: This transaction involved a gift of securities by the reporting person to the Lindy Langston Spousal Lifetime Access Trust.

F3: This transaction involved a gift of securities by the reporting person to a Donor Advised Fund.

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.