0001214659-21-012005.txt : 20211118 0001214659-21-012005.hdr.sgml : 20211118 20211118140858 ACCESSION NUMBER: 0001214659-21-012005 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211117 FILED AS OF DATE: 20211118 DATE AS OF CHANGE: 20211118 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Fisher Heath A CENTRAL INDEX KEY: 0001772567 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38873 FILM NUMBER: 211423820 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] 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-54285.xml PRIMARY DOCUMENT X0306 4 2021-11-17 0001761312 Palomar Holdings, Inc. PLMR 0001772567 Fisher Heath A 7979 IVANHOE AVENUE, SUITE 500 LA JOLLA CA 92037 false true false false President Common Stock 252 D Common Stock 2021-11-17 4 S false 6600 87.4371 D 179098 I By 2007 Fisher Family Trust Common Stock 2021-11-17 4 S false 900 88.0156 D 178198 I By 2007 Fisher Family Trust The sales reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $86.85 to $87.83 (weighted average of $87.4371), inclusive; and $87.95 to $88.24 (weighted average of $88.0156), 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. /s/ Christopher Uchida, Attorney-in-Fact 2021-11-17