Goosehead Insurance, Inc.·5

Feb 12, 4:11 PM ET

Romney Lanni 5

5 · Goosehead Insurance, Inc. · Filed Feb 12, 2021

Insider Transaction Report

Form 5
Period: 2020-12-31
Romney Lanni
10% OwnerOther
Transactions
  • Gift

    Class B Common Stock

    2020-11-2088,709285,286 total
  • Gift

    Class B Common Stock

    2020-11-30+88,70488,704 total(indirect: By Trust)
  • Gift

    LLC Units in Goosehead Financial, LLC

    2020-11-2088,709285,286 total
    Exercise: $0.00Class A Common Stock (88,709 underlying)
  • Gift

    LLC Units in Goosehead Financial, LLC

    2020-11-30+88,70488,704 total(indirect: By Trust)
    Exercise: $0.00Class A Common Stock (88,704 underlying)
Holdings
  • Class B Common Stock

    (indirect: By Spouse)
    5
  • LLC Units in Goosehead Financial, LLC

    (indirect: By Spouse)
    Exercise: $0.00Class A Common Stock (5 underlying)
    5
Footnotes (2)
  • [F1]This transaction involved a gift of securities by the reporting person to her husband who is not an affiliate or member of the Amended and Restated Voting Agreement dated September 18, 2020.
  • [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.

Documents

1 file
  • 5
    wf-form5_161316426003230.xmlPrimary

    FORM 5