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