0001214659-23-012588.txt : 20230922 0001214659-23-012588.hdr.sgml : 20230922 20230922173835 ACCESSION NUMBER: 0001214659-23-012588 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230908 FILED AS OF DATE: 20230922 DATE AS OF CHANGE: 20230922 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: 231272602 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-62698.xml PRIMARY DOCUMENT X0508 4 2023-09-08 0001761312 Palomar Holdings, Inc. PLMR 0001772383 Armstrong Mac 7979 IVANHOE AVENUE, SUITE 500 LA JOLLA CA 92037 true true false false CEO and Chairman 0 Common Stock 489388 I By Armstrong Family Trust Common Stock 23227 D Common Stock (RSUs) 2023-07-15 4 M false 25000 0.00 A 48227 D Common Stock (RSUs) 2023-07-15 4 F false 12618 55.2589 D 35609 D Common Stock (RSUs) 2023-09-08 4 M false 1213 0.00 A 36822 D Common Stock (RSUs) 2023-09-08 4 F false 602 51.27 D 36220 D Restricted Stock Units 0.00 2023-07-15 4 M false 25000 0.00 D Common Stock 25000 75000 D Restricted Stock Units 0.00 2023-09-08 4 M false 1213 0.00 D Common Stock 1213 0 D Represents shares automatically sold by the Company on behalf of the Reporting Person pursuant to a mandatory sell-to-cover provision in the RSU award agreement required to cover minimum statutory tax withholding obligations that became due upon the RSU vesting event. Includes 2,023 shares purchased pursuant to the Palomar Holdings, Inc. 2019 Employee Stock Purchase Plan (ESPP). The original RSU grant was for 125,000 shares on 7/15/2021. Subject to the Reporting Person's continuing service with the Company, the RSUs shall vest as follows: 25,000 shares shall vest on the first year anniversary of the Grant Date/Vesting Base Date; 25,000 shares shall vest on the second year anniversary of the Grant Date/Vesting Base Date; 25,000 shares shall vest on the third year anniversary of the Grant Date/Vesting Base Date; after the third anniversary of the Grant Date/Vesting Base Date, 6,250 shares shall vest on a quarterly basis thereafter, until fully vested. The original RSU grant was for 3,638 shares on 9/8/2020. 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/ Angela Grant, Attorney-in-Fact 2023-09-21