<SEC-DOCUMENT>0001214659-21-009772-index.html : 20210924
<SEC-HEADER>0001214659-21-009772.hdr.sgml : 20210924
<ACCEPTANCE-DATETIME>20210924151430
ACCESSION NUMBER:		0001214659-21-009772
CONFORMED SUBMISSION TYPE:	4
PUBLIC DOCUMENT COUNT:		1
CONFORMED PERIOD OF REPORT:	20210922
FILED AS OF DATE:		20210924
DATE AS OF CHANGE:		20210924

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:		211277095

	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
</SEC-HEADER>
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<TYPE>4
<SEQUENCE>1
<FILENAME>marketforms-53884.xml
<DESCRIPTION>PRIMARY DOCUMENT
<TEXT>
Document 1 - file: marketforms-53884.html

Document 1 - RAW XML: marketforms-53884.xml

</DOCUMENT>
</SEC-DOCUMENT>