0001214659-21-005755.txt : 20210520
0001214659-21-005755.hdr.sgml : 20210520
20210520164521
ACCESSION NUMBER: 0001214659-21-005755
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210519
FILED AS OF DATE: 20210520
DATE AS OF CHANGE: 20210520
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: 21945074
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-52864.xml
PRIMARY DOCUMENT
X0306
4
2021-05-19
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
2021-05-19
4
S
false
700
63.4586
D
224998
I
By 2007 Fisher Family Trust
Common Stock
2021-05-19
4
S
false
5797
65.0926
D
219201
I
By 2007 Fisher Family Trust
Common Stock
2021-05-19
4
S
false
3
65.63
D
219198
I
By 2007 Fisher Family Trust
The sales reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan.
These prices reported in Column 4 are weighted average prices. These shares were sold in multiple transactions at prices ranging from $63.04 to $63.55 (weighted average of $63.4586) inclusive; and $64.56 to $65.52 (weighted average of $65.0926), 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
2021-05-20