0001214659-24-001481.txt : 20240130
0001214659-24-001481.hdr.sgml : 20240130
20240130192742
ACCESSION NUMBER: 0001214659-24-001481
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240126
FILED AS OF DATE: 20240130
DATE AS OF CHANGE: 20240130
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Grant Angela L.
CENTRAL INDEX KEY: 0001834875
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38873
FILM NUMBER: 24580143
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]
ORGANIZATION NAME: 02 Finance
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-64512.xml
PRIMARY DOCUMENT
X0508
4
2024-01-26
0001761312
Palomar Holdings, Inc.
PLMR
0001834875
Grant Angela L.
7979 IVANHOE AVENUE, SUITE 500
LA JOLLA
CA
92037
false
true
false
false
Chief Legal Officer
0
Common Stock
251
D
Common Stock (RSUs)
2024-01-26
4
M
false
656
0.00
A
907
D
Common Stock (RSUs)
2024-01-26
4
S
false
273
60.1283
D
634
D
Common Stock (RSUs)
2024-01-26
4
M
false
1313
0.00
A
1947
D
Common Stock (RSUs)
2024-01-26
4
S
false
528
60.1291
D
1419
D
Common Stock (RSUs)
2024-01-27
4
M
false
247
0.00
A
1666
D
Common Stock (RSUs)
2024-01-27
4
S
false
103
60.1300
D
1563
D
Restricted Stock Units (RSUs)
0.00
2024-01-26
4
M
false
656
0.00
D
Common Stock
656
656
D
Restricted Stock Units (RSUs)
0.00
2024-01-26
4
M
false
1313
0.00
D
Common Stock
1313
1312
D
Restricted Stock Units (RSUs)
0.00
2024-01-27
4
M
false
247
0.00
D
Common Stock
247
0
D
Restricted Stock Units (RSUs)
0.00
2024-01-29
4
A
false
3282
0.00
D
Common Stock
3282
3282
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.
The original RSU grant was for 1,968 shares on 1/26/2022. 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.
The original RSU grant was for 3,937 shares on 1/26/2022. 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.
The original RSU grant was for 742 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.
The original RSU grant was for 3,282 shares on 1/29/2024. 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
2024-01-30