Amended Statement of Changes in Beneficial Ownership (4/a)
April 13 2020 - 6:23PM
Edgar (US Regulatory)
FORM 4
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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).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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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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1. Name and Address of Reporting Person
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Eddy Robert D. |
2. Issuer Name and Ticker or Trading Symbol
BRP Group, Inc.
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BRP
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__X__ Director __X__ 10% Owner _____ Officer (give title below) _____ Other (specify below)
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(Last)
(First)
(Middle)
C/O BRP GROUP, INC., 4010 W. BOY SCOUT BLVD. SUITE 200 |
3. Date of Earliest Transaction
(MM/DD/YYYY)
10/28/2019 |
(Street)
TAMPA, FL 33607
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
10/28/2019 |
6. Individual or Joint/Group Filing
(Check Applicable Line)
_X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security (Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code (Instr. 8)
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4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Class B Common Stock | 10/28/2019 | | A | | 3677559 (1)(2) | A | $0.0001 | 3677559 (1) | I | By The Villages Invesco, LLC (3) |
Class B Common Stock | 10/28/2019 | | D | | 600000 | A | $0 | 3077559 (1) | I | By The Villages Invesco, LLC (3) |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. 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 | 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 of Derivative Security: 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 | 10/28/2019 | | A | | 3677559 (1) | | (2) | (2) | Class A Common Stock | 3677559 (1) | $0 | 3677559 (1) | I | By The Villages Invesco, LLC (3) |
LLC Units in Baldwin Risk Partners, LLC | $0 | 10/28/2019 | | D | | | 600000 | (2) | (2) | Class A Common Stock | 600000 | $13.055 | 3077559 (1) | I | By The Villages Invesco, LLC (3) |
Explanation of Responses: |
(1) | This adds 600,000 shares and LLC Units that were omitted from the reporting person's original Form 4. These added shares and LLC Units also were acquired through conversion, immediately prior to the issuer's initial public offering, of historical interests held in Baldwin Risk Partners, LLC. |
(2) | Each LLC Unit, together with one 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. |
(3) | The reported securities are held by The Villages Invesco, LLC. The reporting person disclaims beneficial ownership of the reported securities except to the extent of her pecuniary interest therein. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Eddy Robert D. C/O BRP GROUP, INC. 4010 W. BOY SCOUT BLVD. SUITE 200 TAMPA, FL 33607 | X | X |
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Signatures
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/s/ Christopher Stephens, as Attorney-in Fact, for Robert D. Eddy | | 4/11/2020 |
**Signature of Reporting Person | Date |
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