0001214659-24-001807.txt : 20240202 0001214659-24-001807.hdr.sgml : 20240202 20240202193957 ACCESSION NUMBER: 0001214659-24-001807 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240131 FILED AS OF DATE: 20240202 DATE AS OF CHANGE: 20240202 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Armstrong Mac CENTRAL INDEX KEY: 0001772383 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38873 FILM NUMBER: 24593517 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] 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-64547.xml PRIMARY DOCUMENT X0508 4 2024-01-31 0001761312 Palomar Holdings, Inc. PLMR 0001772383 Armstrong Mac 7979 IVANHOE AVENUE, SUITE 500 LA JOLLA CA 92037 true true false false CEO and Chairman 0 Common Stock 44117 D Common Stock 489388 I By Armstrong Family Trust Common Stock (RSUs) 2024-01-31 4 M false 4266 0.00 A 48383 D Common Stock (RSUs) 2024-01-31 4 S false 1541 59.1905 D 46842 D Restricted Stock Units (RSUs) 0.00 2024-01-31 4 M false 4266 0.00 D Common Stock 4266 8532 D Restricted Stock Units (RSUs) 0.00 2023-01-31 4 A false 12798 0.00 A Common Stock 12798 12798 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 2,023 shares purchased pursuant to the Palomar Holdings, Inc. 2019 Employee Stock Purchase Plan (ESPP). The original RSU grant was for 12,798 shares on 1/31/2023. 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 2024-02-02