SEC FORM 4 SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
 
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
Daniel A. Galbraith 2020 Grantor Retained Annuity Trust, dated September 30, 2020

(Last) (First) (Middle)
C/O BRP GROUP, INC.
4211 W. BOY SCOUT BLVD., SUITE 800

(Street)
TAMPA FL 33607

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
BRP Group, Inc. [ BRP ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
Officer (give title below) X Other (specify below)
Member of 10% owner group
3. Date of Earliest Transaction (Month/Day/Year)
09/30/2021
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
X Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Class B Common Stock 09/30/2021 G V 37,488(1) D $0 71,090 D
Class B Common Stock 09/30/2021 G V 239,776(2) A $0 553,378(3) I By Trust
Class B Common Stock 1,787,498 D
Class B Common Stock 09/30/2021 G V 391,341(4) A $0 420,313(3) I By Trust
Class B Common Stock 1,089,019 D
Class B Common Stock 09/30/2021 G V 119,871(5) A $0 206,748(3) I By Trust
Class B Common Stock 2,334,127 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
LLC Units in Baldwin Risk Partners, LLC $0 09/30/2021 G V 37,488(1) (6) (6) Class A Common Stock 37,488 $0 71,090 D
LLC Units in Baldwin Risk Partners, LLC $0 09/30/2021 G V 239,776(2) (6) (6) Class A Common Stock 239,776 $0 553,378(3) I By Trust
LLC Units in Baldwin Risk Partners, LLC $0 (6) (6) Class A Common Stock 1,787,498 1,787,498 D
LLC Units in Baldwin Risk Partners, LLC $0 09/30/2021 G V 391,341(4) (6) (6) Class A Common Stock 391,341 $0 420,313(3) I By Trust
LLC Units in Baldwin Risk Partners, LLC $0 (6) (6) Class A Common Stock 1,089,019 1,089,019 D
LLC Units in Baldwin Risk Partners, LLC $0 09/30/2021 G V 119,871(5) (6) (6) Class A Common Stock 119,871 $0 206,748(3) I By Trust
LLC Units in Baldwin Risk Partners, LLC $0 (6) (6) Class A Common Stock 2,334,127 2,334,127 D
1. Name and Address of Reporting Person*
Daniel A. Galbraith 2020 Grantor Retained Annuity Trust, dated September 30, 2020

(Last) (First) (Middle)
C/O BRP GROUP, INC.
4211 W. BOY SCOUT BLVD., SUITE 800

(Street)
TAMPA FL 33607

(City) (State) (Zip)
1. Name and Address of Reporting Person*
Krystyn Elizabeth

(Last) (First) (Middle)
C/O BRP GROUP, INC.
4211 W. BOY SCOUT BLVD., SUITE 800

(Street)
TAMPA FL 33607

(City) (State) (Zip)
1. Name and Address of Reporting Person*
Wiebeck Kristopher Aaron

(Last) (First) (Middle)
C/O BRP GROUP, INC.
4211 W. BOY SCOUT BLVD., SUITE 800

(Street)
TAMPA FL 33607

(City) (State) (Zip)
1. Name and Address of Reporting Person*
Sherman Laura

(Last) (First) (Middle)
C/O BRP GROUP, INC.
4211 W. BOY SCOUT BLVD., SUITE 800

(Street)
TAMPA FL 33607

(City) (State) (Zip)
Explanation of Responses:
1. These securities were transferred from the reporting person to Daniel A. Galbraith, the trustee and beneficiary of the Daniel A. Galbraith 2020 Grantor Retained Annuity Trust, dated September 30, 2020.
2. These securities were transferred from the Elizabeth H. Krystyn 2019 Grantor Retained Annuity Trust I Dated September 30, 2019 to Enrique M. Fueyo, as Trustee of the Elizabeth H. Krystyn 2019 Irrevocable Trust, dated September 30, 2019, of which Elizabeth Krystyn is a beneficiary.
3. The reporting person disclaims beneficial ownership in these securities except to the extent of his or her pecuniary interest therein.
4. These securities were transferred from the Kristopher A. Wiebeck 2019 Grantor Retained Annuity Trust Dated September 30, 2019 to Melissa E. Wiebeck, as Trustee of the Kristopher A. Wiebeck 2019 Irrevocable Trust, dated August 28, 2019, of which Kristopher Aaron Wiebeck is a beneficiary.
5. These securities were transferred from the Laura R. Sherman GRAT 2019-1 Dated September 30, 2019 to BNY Mellon, National Association, as Trustee of the Laura R. Sherman Irrevocable Trust of 2019-1, of which Laura Sherman is a beneficiary.
6. 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.
/s/ Bradford Hale as Attorney-in Fact, for Daniel A. Galbraith 2020 Grantor Retained Annuity Trust, dated September 30, 2020 12/08/2021
/s/ Bradford Hale as Attorney-in Fact, for Elizabeth Krystyn 12/08/2021
/s/ Bradford Hale as Attorney-in Fact, for Kristopher Aaron Wiebeck 12/08/2021
/s/ Bradford Hale as Attorney-in Fact, for Laura Sherman 12/08/2021
** Signature of Reporting Person Date
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