Home/Filings/3/0001104659-19-021745

3//SEC Filing

Genstar VI GP AIV LTD. 3

Accession 0001104659-19-021745

CIK 0001761312other

View on SEC.gov Company Profile

Filed

Apr 15, 8:00 PM ET

Accepted

Apr 16, 9:15 PM ET

Size

169.3 KB

Accession

0001104659-19-021745

Insider Transaction Report

Form 3

Period: 2019-04-16

Palomar Holdings, Inc.PLMR

Stargen VI AIV, LP

10% Owner

Holdings

Common Stock
(indirect: See Footnotes)
10,127,458
Common Stock
0
Common Stock
(indirect: See Footnotes)
4,340,339

Genstar V GP AIV LTD.

10% Owner

Holdings

Common Stock
(indirect: See Footnotes)
4,340,339
Common Stock
(indirect: See Footnotes)
10,127,458
Common Stock
0

Clark James Ryan

Director

Holdings

Common Stock
(indirect: See Footnotes)
10,127,458
Common Stock
(indirect: See Footnotes)
4,340,339
Common Stock
0

Genstar Capital V AIV, L.P.

10% Owner

Holdings

Common Stock
(indirect: See Footnotes)
10,127,458
Common Stock
(indirect: See Footnotes)
4,340,339
Common Stock
0

Genstar Capital Partners VI AIV, L.P.

10% Owner

Holdings

Common Stock
(indirect: See Footnotes)
4,340,339
Common Stock
(indirect: See Footnotes)
10,127,458
Common Stock
0

Genstar Capital Partners V AIV, L.P.

10% Owner

Holdings

Common Stock
0
Common Stock
(indirect: See Footnotes)
4,340,339
Common Stock
(indirect: See Footnotes)
10,127,458

Genstar Capital VI AIV, L.P.

10% Owner

Holdings

Common Stock
(indirect: See Footnotes)
4,340,339
Common Stock
(indirect: See Footnotes)
10,127,458
Common Stock
0

Stargen V AIV, LP

10% Owner

Holdings

Common Stock
(indirect: See Footnotes)
4,340,339
Common Stock
0
Common Stock
(indirect: See Footnotes)
10,127,458

Genstar VI GP AIV LTD.

10% Owner

Holdings

Common Stock
0
Common Stock
(indirect: See Footnotes)
4,340,339
Common Stock
(indirect: See Footnotes)
10,127,458

Genstar Capital Partners VI AIV (DEL), L.P.

10% Owner

Holdings

Common Stock
(indirect: See Footnotes)
10,127,458
Common Stock
0
Common Stock
(indirect: See Footnotes)
4,340,339

Footnotes (5)

[F1]This report is filed by the following Reporting Persons: Genstar VI GP AIV LTD. ("Genstar VI LTD"); Genstar Capital VI AIV, L.P. ("Genstar VI GP"); Genstar Capital Partners VI AIV, L.P. ("Genstar VI"); Genstar Capital Partners VI AIV (DEL), L.P. ("Genstar VI DEL"); Stargen VI AIV, L.P. ("Stargen VI"); Genstar V GP AIV LTD. ("Genstar V LTD"); Genstar Capital V AIV, L.P. ("Genstar V GP"); Genstar Capital Partners V AIV, L.P. ("Genstar V"); Stargen V AIV, L.P. ("Stargen V" and, together with Genstar VI, Genstar VI DEL, Stargen VI and Genstar V, the "Genstar Entities"); and James Ryan Clark.
[F2]Represents 4,021,062 shares held directly by Genstar VI, 166,254 shares held directly by Genstar VI DEL, and 153,023 shares held directly by Stargen VI. Indirectly beneficially owned by Genstar VI GP, which is the general partner of Genstar VI, Genstar VI DEL, and Stargen VI, and by Genstar VI LTD, which is the general partner of Genstar VI GP.
[F3]Represents 9,832,483 shares held directly by Genstar V and 294,975 shares held directly by Stargen V. Indirectly beneficially owned by Genstar V GP, which is the general partner of Genstar V and Stargen V, and by Genstar V LTD, which is the general partner of Genstar V GP.
[F4]James Ryan Clark is a director of each of Genstar VI LTD and Genstar V LTD and directly owns no shares of the Issuer.
[F5]This filing shall not be deemed an admission that for purposes of Section 16 of the Securities Exchange Act of 1934, as amended, or otherwise, that the Reporting Persons are the beneficial owners of any equity securities in excess of their respective pecuniary interests, and each Reporting Person disclaims beneficial ownership of the securities reported herein, except to the extent of such Reporting Person's pecuniary interest therein, if any.

Documents

2 files

Issuer

Palomar Holdings, Inc.

CIK 0001761312

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Entity typeother

IncorporatedCayman Islands

Related Parties

filerCIK 0001772564

Filing Metadata

Form type: 3
Filed: Apr 15, 8:00 PM ET
Accepted: Apr 16, 9:15 PM ET
Size: 169.3 KB

View on SEC.gov