0001104659-20-037441.txt : 20200323
0001104659-20-037441.hdr.sgml : 20200323
20200323200034
ACCESSION NUMBER: 0001104659-20-037441
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200319
FILED AS OF DATE: 20200323
DATE AS OF CHANGE: 20200323
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: DOWDELL ROBERT E
CENTRAL INDEX KEY: 0001216302
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38873
FILM NUMBER: 20736297
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
2020-03-19
0
0001761312
Palomar Holdings, Inc.
PLMR
0001216302
DOWDELL ROBERT E
7979 IVANHOE AVENUE, SUITE 500
LA JOLLA
CA
92037
1
0
0
0
Common Stock
2020-03-19
4
P
0
600
40.25
A
2163
D
Common Stock
100039
I
Held by RGD Partners, L.P.
The amount reported reflects 1,563 Restricted Stock Units (RSUs) previously granted to the Reporting Person.
Mr. Dowdell serves as an agent of RGD Partners, L.P. Mr. Dowdell has no pecuniary interest in shares held by RGD Partners, L.P. He retains voting and dispositive control over such shares. Mr. Dowdell disclaims beneficial ownership of these securities, and this report shall not be deemed an admission that Mr. Dowdell is the beneficial owner of the securities for purposes of Section 16 or for any other purpose.
/s/ Christopher Uchida, Attorney-in-Fact
2020-03-23