0001214659-24-011695.txt : 20240701 0001214659-24-011695.hdr.sgml : 20240701 20240701163105 ACCESSION NUMBER: 0001214659-24-011695 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240628 FILED AS OF DATE: 20240701 DATE AS OF CHANGE: 20240701 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Carter Timothy CENTRAL INDEX KEY: 0002028843 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38873 FILM NUMBER: 241091087 MAIL ADDRESS: STREET 1: 7979 IVANHOE AVE 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-66447.xml PRIMARY DOCUMENT X0508 4 2024-06-28 0001761312 Palomar Holdings, Inc. PLMR 0002028843 Carter Timothy 7979 IVANHOE AVENUE, SUITE 500 LA JOLLA, CA CA 92037 false true false false Chief People Officer 0 Restricted Stock Units (RSUs) 0.00 2024-06-28 4 A false 1476 0.00 A Common Stock 1476 1476 D Restricted Stock Units (RSUs) 0.00 2024-06-28 4 A false 2460 0.00 A Common Stock 2460 3936 D The original RSU grant was for 1,476 shares on 6/28/2024. 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 2,460 shares on 6/28/2024. 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. Angela Grant, Attorney-in-Fact 2024-07-01