0001214659-24-013642.txt : 20240802
0001214659-24-013642.hdr.sgml : 20240802
20240802161507
ACCESSION NUMBER: 0001214659-24-013642
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240731
FILED AS OF DATE: 20240802
DATE AS OF CHANGE: 20240802
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Herve Rodolphe
CENTRAL INDEX KEY: 0002028854
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38873
FILM NUMBER: 241171162
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-66694.xml
PRIMARY DOCUMENT
X0508
4
2024-07-31
0001761312
Palomar Holdings, Inc.
PLMR
0002028854
Herve Rodolphe
7979 IVANHOE AVENUE, SUITE 500
LA JOLLA, CA
CA
92037
false
true
false
false
Chief Operating Officer
0
Restricted Stock Units (RSUs)
0.00
2024-07-31
4
A
false
3231
0.00
A
Common Stock
3231
3231
D
Restricted Stock Units (RSUs)
0.00
2024-07-31
4
A
false
5975
0.00
A
Common Stock
5975
5975
D
The original RSU grant was for 3,231 shares on 7/31/2024. 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 5,975 shares on 7/31/2024. 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, as Attorney-in-fact
2024-08-02