0001214659-24-012513.txt : 20240716
0001214659-24-012513.hdr.sgml : 20240716
20240716193252
ACCESSION NUMBER: 0001214659-24-012513
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240715
FILED AS OF DATE: 20240716
DATE AS OF CHANGE: 20240716
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: 241120730
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-66578.xml
PRIMARY DOCUMENT
X0508
4
2024-07-15
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
47082
D
Common Stock
454388
I
By Armstrong Family Trust
Common Stock
2024-07-15
4
M
false
25000
0
A
72082
D
Common Stock
2024-07-15
4
S
false
12773
88.1919
D
59309
D
Restricted Stock Units
0.00
2024-07-15
4
M
false
25000
0.00
D
Common Stock
25000
50000
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 2,263 shares purchased pursuant to the Palomar Holdings, Inc. 2019 Employee Stock Purchase Plan (ESPP).
The original RSU grant was for 125,000 shares on 7/15/2021. Subject to the Reporting Person's continuing service with the Company, the RSUs shall vest as follows: 25,000 shares shall vest on the first year anniversary of the Grant Date/Vesting Base Date; 25,000 shares shall vest on the second year anniversary of the Grant Date/Vesting Base Date; 25,000 shares shall vest on the third year anniversary of the Grant Date/Vesting Base Date; after the third anniversary of the Grant Date/Vesting Base Date, 6,250 shares shall vest on a quarterly basis thereafter, until fully vested.
/s/ Angela Grant, Attorney-in-Fact
2024-07-16