0001214659-24-012701.txt : 20240719 0001214659-24-012701.hdr.sgml : 20240719 20240719161533 ACCESSION NUMBER: 0001214659-24-012701 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240717 FILED AS OF DATE: 20240719 DATE AS OF CHANGE: 20240719 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Uchida T Christopher CENTRAL INDEX KEY: 0001772379 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38873 FILM NUMBER: 241127954 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-66581.xml PRIMARY DOCUMENT X0508 4 2024-07-17 0001761312 Palomar Holdings, Inc. PLMR 0001772379 Uchida T Christopher 7979 IVANHOE AVENUE, SUITE 500 LA JOLLA CA 92037 false true false false Chief Financial Officer 1 Common Stock 2024-07-17 4 M false 1000 15.00 A 25094 D Common Stock 2024-07-17 4 S false 950 91.2621 D 24144 D Common Stock 2024-07-17 4 S false 50 92.0700 D 24094 D Employee Stock Option (Right to Buy) 15 2024-07-17 4 M false 1000 0.00 D 2029-04-16 Common Stock 1000 2156 D Includes 1,666 shares of Common Stock purchased pursuant to the Palomar Holdings, Inc. 2019 Employee Stock Purchase Plan (ESPP). The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $90.94 to $91.71 (weighted average of $91.2621), inclusive; and $92.07 to $92.07 (weighted average of $92.0700), inclusive. The Reporting Person undertakes to provide to Palomar Holdings, Inc., any security holder of Palomar Holdings, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote to this Form 4. Fifty percent (50%) of the option shares vest and become exercisable on April 16, 2020 and the remaining option shares vest and become exercisable in twelve (12) equal monthly installments thereafter. /s/ Angela Grant, Attorney-in-Fact 2024-07-19