0001214659-21-011385.txt : 20211110
0001214659-21-011385.hdr.sgml : 20211110
20211110131451
ACCESSION NUMBER: 0001214659-21-011385
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211108
FILED AS OF DATE: 20211110
DATE AS OF CHANGE: 20211110
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Notaras Martha
CENTRAL INDEX KEY: 0001803071
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38873
FILM NUMBER: 211395732
MAIL ADDRESS:
STREET 1: 7979 IVANHOE AVENUE, SUITE 500
CITY: LA JOLLA
STATE: CA
ZIP: 92037
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Palomar Holdings, Inc.
CENTRAL INDEX KEY: 0001761312
STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331]
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-54197.xml
PRIMARY DOCUMENT
X0306
4
2021-11-08
0001761312
Palomar Holdings, Inc.
PLMR
0001803071
Notaras Martha
7979 IVANHOE AVENUE, SUITE 500
LA JOLLA
CA
92037
true
false
false
false
Common Stock
2021-11-08
4
P
false
1587
94.3315
A
3229
D
The amount reported includes 833 Restricted Stock Units (RSUs) granted to the Reporting Person pursuant to the Issuer's 2019 Equity Incentive Plan (the "Plan"), which shall vest in full upon the first anniversary of the Grant Date subject to the Reporting Person's continuing Service (as defined in the Plan) with the Issuer.
/s/ Christopher Uchida, Attorney-in-Fact
2021-11-10