0001214659-21-009574.txt : 20210916
0001214659-21-009574.hdr.sgml : 20210916
20210916180729
ACCESSION NUMBER: 0001214659-21-009574
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210915
FILED AS OF DATE: 20210916
DATE AS OF CHANGE: 20210916
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Uchida T Christopher
CENTRAL INDEX KEY: 0001772379
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38873
FILM NUMBER: 211258822
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-53819.xml
PRIMARY DOCUMENT
X0306
4
2021-09-15
0001761312
Palomar Holdings, Inc.
PLMR
0001772379
Uchida T Christopher
7979 IVANHOE AVENUE, SUITE 500
LA JOLLA
CA
92037
false
true
false
false
Chief Financial Officer
Common Stock
2021-09-15
4
M
false
1500
15.00
A
33391
D
Common Stock
2021-09-15
4
S
false
1500
86.11
D
31891
D
Common Stock
2021-09-15
4
S
false
400
86.11
D
31491
D
Employee Stock Option (Right to Buy)
15.00
2021-09-15
4
M
false
1500
0.00
D
2029-04-16
Common Stock
1500
24156
D
The sales reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan.
Includes 1,337 shares of Common Stock purchased pursuant to the Palomar Holdings, Inc. 2019 Employee Stock Purchase Plan (ESPP).
Fifty percent (50%) of the option shares 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
2021-09-16