0001104659-21-041058.txt : 20210324
0001104659-21-041058.hdr.sgml : 20210324
20210324191107
ACCESSION NUMBER: 0001104659-21-041058
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210322
FILED AS OF DATE: 20210324
DATE AS OF CHANGE: 20210324
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Armstrong Mac
CENTRAL INDEX KEY: 0001772383
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38873
FILM NUMBER: 21769567
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
tm2110803-2_4seq1.xml
OWNERSHIP DOCUMENT
X0306
4
2021-03-22
0
0001761312
Palomar Holdings, Inc.
PLMR
0001772383
Armstrong Mac
7979 IVANHOE AVENUE, SUITE 500
LA JOLLA,
CA
92037
1
1
0
0
CEO and Chairman
Common Stock
2021-03-22
4
M
0
12500
15.00
A
13694
D
Common Stock
2021-03-22
5
G
0
E
12500
0
D
1194
D
Common Stock
2021-03-22
4
A
0
12500
0
A
747888
I
By Armstrong Family Trust
Common Stock
2021-03-22
4
S
0
3920
70.1061
D
743968
I
By Armstrong Family Trust
Common Stock
2021-03-22
4
S
0
3352
71.071
D
740616
I
By Armstrong Family Trust
Common Stock
2021-03-22
4
S
0
4468
71.9801
D
736148
I
By Armstrong Family Trust
Common Stock
2021-03-22
4
S
0
760
72.7526
D
735388
I
By Armstrong Family Trust
Employee Stock Option (right to buy)
15.00
2021-03-22
4
M
0
12500
0
D
2029-04-16
Common Stock
12500
206310
D
Includes 1,194 shares of Common Stock purchased pursuant to the Palomar Holdings, Inc. 2019 Employee Stock Purchase Plan (ESPP).
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 $69.51 to $70.44 (weighted average of $70.1061), inclusive; $70.53 to $71.52 (weighted average of $71.071), inclusive; $71.53 to $72.52 (weighted average of $71.9801), inclusive; and $72.54 to $73.15 (weighted average of $72.7526). 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 granted 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/ Christopher Uchida, Attorney-in-Fact
2021-03-24