1. Name and Address of Reporting Person*Baldwin Insurance Group Holdings, LLC |
C/O BRP GROUP, INC. | 4010 W. BOY SCOUT BLVD. SUITE 200 |
(Street)
| 2. Date of Event Requiring Statement (Month/Day/Year) 10/28/2019 | 3. Issuer Name and Ticker or Trading Symbol BRP Group, Inc. [ BRP ] |
4. Relationship of Reporting Person(s) to Issuer (Check all applicable) | Director | X | 10% Owner | | Officer (give title below) | X | Other (specify below) | Member of 10% owner group |
| 5. 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 |
|
1. Name and Address of Reporting Person*Baldwin Insurance Group Holdings, LLC |
C/O BRP GROUP, INC. | 4010 W. BOY SCOUT BLVD. SUITE 200 |
(Street)
|
1. Name and Address of Reporting Person*
C/O BRP GROUP, INC. | 4010 W. BOY SCOUT BLVD. SUITE 200 |
(Street)
|
1. Name and Address of Reporting Person*Elizabeth H. Krystyn 2019 Grantor Retained Annuity Trust I Dated September 30, 2019 |
C/O BRP GROUP, INC. | 4010 W. BOY SCOUT BLVD. SUITE 200 |
(Street)
|
1. Name and Address of Reporting Person*Elizabeth H. Krystyn 2019 Grantor Retained Annuity Trust II Dated September 30, 2019 |
C/O BRP GROUP, INC. | 4010 W. BOY SCOUT BLVD. SUITE 200 |
(Street)
|
1. Name and Address of Reporting Person*
C/O BRP GROUP, INC. | 4010 W. BOY SCOUT BLVD. SUITE 200 |
(Street)
|
1. Name and Address of Reporting Person*Laura R. Sherman GRAT 2019-1 Dated September 30, 2019 |
C/O BRP GROUP, INC. | 4010 W. BOY SCOUT BLVD. SUITE 200 |
(Street)
|
1. Name and Address of Reporting Person*Laura R. Sherman GRAT 2019-2 Dated September 30, 2019 |
C/O BRP GROUP, INC. | 4010 W. BOY SCOUT BLVD. SUITE 200 |
(Street)
|
1. Name and Address of Reporting Person*Kristopher A. Wiebeck 2019 Grantor Retained Annuity Trust Dated September 30, 2019 |
C/O BRP GROUP, INC. | 4010 W. BOY SCOUT BLVD. SUITE 200 |
(Street)
|
1. Name and Address of Reporting Person*John A. Valentine 2019 Grantor Retained Annuity Trust Dated September 30, 2019 |
C/O BRP GROUP, INC. | 4010 W. BOY SCOUT BLVD. SUITE 200 |
(Street)
|
1. Name and Address of Reporting Person*
C/O BRP GROUP, INC. | 4010 W BOY SCOUT BLVD SUITE 200 |
(Street)
|
| /s/ Christopher J. Stephens, as Attorney-in Fact, for Baldwin Insurance Group Holdings, LLC | 10/28/2019 |
| /s/ Christopher J. Stephens, as Attorney-in Fact, for Elizabeth Krystyn | 10/28/2019 |
| /s/ Christopher J. Stephens, as Attorney-in Fact, for Elizabeth H. Krystyn 2019 Grantor Retained Annuity Trust I Dated September 30, 2019 | 10/28/2019 |
| /s/ Christopher J. Stephens, as Attorney-in Fact, for Elizabeth H. Krystyn 2019 Grantor Retained Annuity Trust II Dated September 30, 2019 | 10/28/2019 |
| /s/ Christopher J. Stephens, as Attorney-in Fact, for Laura Sherman | 10/28/2019 |
| /s/ Christopher J. Stephens, as Attorney-in Fact, for Laura R. Sherman GRAT 2019-1 Dated September 30, 2019 | 10/28/2019 |
| /s/ Christopher J. Stephens, as Attorney-in Fact, for Laura R. Sherman GRAT 2019-2 Dated September 30, 2019 | 10/28/2019 |
| /s/ Christopher J. Stephens, as Attorney-in Fact, for Kristopher A. Wiebeck 2019 Grantor Retained Annuity Trust Dated September 30, 2019 | 10/28/2019 |
| /s/ Christopher J. Stephens, as Attorney-in Fact, for John A. Valentine 2019 Grantor Retained Annuity Trust Dated September 30, 2019 | 10/28/2019 |
| /s/ Christopher J. Stephens, as Attorney-in Fact, for Joseph D. Finney | 10/28/2019 |
| ** Signature of Reporting Person | Date |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. |
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v). |
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. |
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |