0001214659-22-001512.txt : 20220131
0001214659-22-001512.hdr.sgml : 20220131
20220131211407
ACCESSION NUMBER: 0001214659-22-001512
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220127
FILED AS OF DATE: 20220131
DATE AS OF CHANGE: 20220131
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: 22576517
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-55202.xml
PRIMARY DOCUMENT
X0306
4
2022-01-27
0001761312
Palomar Holdings, Inc.
PLMR
0001772383
Armstrong Mac
7979 IVANHOE AVENUE, SUITE 500
LA JOLLA
CA
92037
true
true
false
false
CEO and Chairman
Common Stock
1945
D
Common Stock
695388
I
By Armstrong Family Trust
Common Stock (RSUs)
2022-01-27
4
M
false
2630
0.00
A
4575
D
Common Stock (RSUs)
2022-01-27
4
F
false
1007
48.86
D
3568
D
Restricted Stock Units
0.00
2022-01-27
4
M
false
2630
0.00
D
Common Stock
2630
5259
D
This entry represents the number of shares of common stock withheld by the Issuer to satisfy the tax withholding obligation of the Reporting Person. These shares were not sold by the Reporting Person but were instead offset from the total number of vested shares received by the Reporting Person from the Issuer.
Includes 1,337 shares purchased pursuant to the Palomar Holdings, Inc. 2019 Employee Stock Purchase Plan (ESPP).
The original RSU grant was for 7,889 shares on 1/27/2021. Subject to continuing service with the Company, the restricted stock units shall vest as follows: one-third (1/3) shall vest on the first year anniversary of the date of the grant; an additional one-third (1/3) shall vest on the second year anniversary of the date of the grant; and the final one-third (1/3) shall vest on the third year anniversary of the date of grant.
/s/ Christopher Uchida, Attorney-in-Fact
2022-01-31