0001214659-24-009935.txt : 20240524
0001214659-24-009935.hdr.sgml : 20240524
20240524161918
ACCESSION NUMBER: 0001214659-24-009935
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240523
FILED AS OF DATE: 20240524
DATE AS OF CHANGE: 20240524
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: 24984635
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-66031.xml
PRIMARY DOCUMENT
X0508
4
2024-05-23
0001761312
Palomar Holdings, Inc.
PLMR
0001198917
BRADLEY THOMAS A
7979 IVANHOE AVENUE, SUITE 500
LA JOLLA
CA
92037
true
false
false
false
0
Common Stock
2024-05-23
4
A
false
1224
0
A
3724
D
The amount reported reflects Restricted Stock Units (RSUs) granted to the Reporting Person pursuant to Issuer's 2019 Equity Incentive Plan. Subject to the Reporting Person's continued service, the RSUs shall vest in full upon the earlier to occur of (1) the first anniversary of the Grant Date or (2) the next annual meeting of stockholders of the Company.
Each restricted stock unit represents a contingent right to receive one share of the Issuer's common stock.
/s/ Angela Grant, Attorney-in-Fact
2024-05-24