0001214659-23-001295.txt : 20230130 0001214659-23-001295.hdr.sgml : 20230130 20230130200053 ACCESSION NUMBER: 0001214659-23-001295 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230126 FILED AS OF DATE: 20230130 DATE AS OF CHANGE: 20230130 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Armstrong Mac CENTRAL INDEX KEY: 0001772383 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38873 FILM NUMBER: 23569778 MAIL ADDRESS: STREET 1: 7979 IVANHOE AVENUE STREET 2: 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-58424.xml PRIMARY DOCUMENT X0306 4 2023-01-26 0001761312 Palomar Holdings, Inc. PLMR 0001772383 Armstrong Mac 7979 IVANHOE AVENUE, SUITE 500 LA JOLLA CA 92037 true true false false CEO and Chairman Common Stock 569388 I By Armstrong Family Trust Common Stock 17761 D Common Stock (RSUs) 2023-01-26 4 M false 5398 0.00 A 23159 D Common Stock (RSUs) 2023-01-26 4 F false 1998 49.5407 D 21161 D Common Stock (RSUs) 2023-01-26 4 M false 2629 0.00 A 23790 D Common Stock (RSUs) 2023-01-26 4 F false 920 49.1779 D 22870 D Restricted Stock Units 0.00 2023-01-26 4 M false 5398 0.00 D Common Stock 5398 10795 D Restricted Stock Units 0.00 2023-01-26 4 M false 2629 0.00 D Common Stock 2629 2630 D Represents shares automatically sold by the Company on behalf of the Reporting Person pursuant to a mandatory sell-to-cover provision in the RSU award agreement required to cover minimum statutory tax withholding obligations that became due upon the RSU vesting event. Includes 1,666 shares purchased pursuant to the Palomar Holdings, Inc. 2019 Employee Stock Purchase Plan (ESPP). The original RSU grant was for 16,193 shares on 1/26/2022. Subject to continuing service with the Company, the restricted stock units shall vest as follows: one-third (1/3) shall vest on the first year anniversary of the date of the grant; an additional one-third (1/3) shall vest on the second year anniversary of the date of the grant; and the final one-third (1/3) shall vest on the third year anniversary of the date of grant. The original RSU grant was for 7,889 shares on 1/27/2021. Subject to continuing service with the Company, the restricted stock units shall vest as follows: one-third (1/3) shall vest on the first year anniversary of the date of the grant; an additional one-third (1/3) shall vest on the second year anniversary of the date of the grant; and the final one-third (1/3) shall vest on the third year anniversary of the date of grant. /s/ Angela Grant, Attorney-in-Fact 2023-01-30