Form 4 for PLMR Palomar Holdings, Inc.

Accepted 2021-11-12 00:00:00 ET · period of report 2021-09-08 · accession 0001214659-21-011512 · SEC index · Original document

Summary rows

Aggregated the way they appear in lists: one row per insider, transaction code and security table.

X	Filed	Traded	Ticker	Insider	Title	Type	Price	Qty	Owned	ΔOwn	Value
D	2021-11-12	2021-09-08	PLMR	Johnson Michelle Antoinette	Chief Talent, Div. Off	M - OptEx	$0.00	+242	336	+257%	$0
D	2021-11-12	2021-09-08	PLMR	Johnson Michelle Antoinette	Chief Talent, Div. Off	F - Tax	$86.83	-85	251	-25%	-$7,381
D	2021-11-12	2021-09-08	PLMR	Johnson Michelle Antoinette	Chief Talent, Div. Off	M - OptEx	$0.00	-242	485	-33%	$0

Purchase Sale Sale after option exercise All abbreviations

#	Table	Security	Date	Code	A/D	Shares	Price	Owned after	Own	Exercise / expiry	Underlying	Footnotes
1	Common	Common Stock (RSUs)	2021-09-08	M	A	242	$0.00	336	D	—	—	(F2) Includes 94 shares purchased pursuant to the Palomar Holdings, Inc. 2019 Employee Stock Purchase Plan (ESPP).
2	Common	Common Stock (RSUs)	2021-09-08	F	D	85	$86.83	251	D	—	—	(F2) Includes 94 shares purchased pursuant to the Palomar Holdings, Inc. 2019 Employee Stock Purchase Plan (ESPP).
3	Derivative	Restricted Stock Units	2021-09-08	M	D	242	$0.00	485	D	$0.00 · — to —	242 Common Stock	(F3) The original RSU grant was for 727 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.