0001214659-21-010688.txt : 20211021 0001214659-21-010688.hdr.sgml : 20211021 20211021213504 ACCESSION NUMBER: 0001214659-21-010688 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211020 FILED AS OF DATE: 20211021 DATE AS OF CHANGE: 20211021 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: 211338536 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-54058.xml PRIMARY DOCUMENT X0306 4 2021-10-20 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 252 D Common Stock 2021-10-20 4 S false 7500 80.7551 D 185698 I By 2007 Fisher Family Trust The sales reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan. /s/ Christopher Uchida, Attorney-in-Fact 2021-10-21