0001214659-24-003857.txt : 20240301 0001214659-24-003857.hdr.sgml : 20240301 20240301161743 ACCESSION NUMBER: 0001214659-24-003857 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240228 FILED AS OF DATE: 20240301 DATE AS OF CHANGE: 20240301 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BRADLEY THOMAS A CENTRAL INDEX KEY: 0001198917 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] ORGANIZATION NAME: 02 Finance FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38873 FILM NUMBER: 24710017 BUSINESS ADDRESS: STREET 1: 199 WATER STREET STREET 2: 24TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10038 BUSINESS PHONE: 646-794-0500 MAIL ADDRESS: STREET 1: 199 WATER STREET STREET 2: 24TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10038 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Palomar Holdings, Inc. CENTRAL INDEX KEY: 0001761312 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] ORGANIZATION NAME: 02 Finance IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 7979 IVANHOE AVENUE STREET 2: SUITE 500 CITY: LA JOLLA STATE: CA ZIP: 92037 BUSINESS PHONE: 619-567-5290 MAIL ADDRESS: STREET 1: 7979 IVANHOE AVENUE STREET 2: SUITE 500 CITY: LA JOLLA STATE: CA ZIP: 92037 FORMER COMPANY: FORMER CONFORMED NAME: GC Palomar Holdings DATE OF NAME CHANGE: 20181211 4 1 marketforms-64992.xml PRIMARY DOCUMENT X0508 4 2024-02-28 0001761312 Palomar Holdings, Inc. PLMR 0001198917 BRADLEY THOMAS A 7979 IVANHOE AVENUE, SUITE 500 LA JOLLA CA 92037 true false false false 0 Restricted Stock Units (RSUs) 0.00 2024-02-28 4 A false 1331 0.00 A Common Stock 1331 1331 D The Restricted Stock Units (RSUs) will vest in full on the first anniversary of the grant date subject to the reporting person's continued service with the Company. /s/ Angela Grant, Attorney-in-Fact 2024-03-01