0001104659-20-004404.txt : 20200115 0001104659-20-004404.hdr.sgml : 20200115 20200115190214 ACCESSION NUMBER: 0001104659-20-004404 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200114 FILED AS OF DATE: 20200115 DATE AS OF CHANGE: 20200115 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ESTES GEORGE L III CENTRAL INDEX KEY: 0001198962 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] STATE OF INCORPORATION: MN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38873 FILM NUMBER: 20529200 BUSINESS ADDRESS: STREET 1: DISCOVER REINSURANCE CO STREET 2: 5 BATTERSON PK CITY: FARMINGTON STATE: CO ZIP: 06032 BUSINESS PHONE: 860 874 2660 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Palomar Holdings, Inc. CENTRAL INDEX KEY: 0001761312 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] 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 a4.xml 4 X0306 4 2020-01-14 0 0001761312 Palomar Holdings, Inc. PLMR 0001198962 ESTES GEORGE L III 7979 IVANHOE AVENUE, SUITE 500 LA JOLLA CA 92037 1 0 0 0 Common Stock 2020-01-14 4 S 0 17000 47.285 D 8247 D /s/ Christopher Uchida, Attorney-in-Fact 2020-01-15