SEC Form 3

FORM 3

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940

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1. Name and Address of Reporting Person* Genstar VI GP AIV LTD. (Last) (First) (Middle) C/O GENSTAR CAPITAL LLC FOUR EMBARCADERO CENTER, SUITE 1900 (Street) SAN FRANCISCO CA 94111 (City) (State) (Zip)	2. Date of Event Requiring Statement (Month/Day/Year) 04/16/2019	3. Issuer Name and Ticker or Trading Symbol Palomar Holdings, Inc. [ PLMR ]
		4. Relationship of Reporting Person(s) to Issuer (Check all applicable) Director X 10% Owner Officer (give title below) Other (specify below)	5. If Amendment, Date of Original Filed (Month/Day/Year)
			6. Individual or Joint/Group Filing (Check Applicable Line) Form filed by One Reporting Person X Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4)	2. Amount of Securities Beneficially Owned (Instr. 4)	3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock	4,340,339	I(1)(2)(5)	See Footnotes(1)(2)(5)
Common Stock	10,127,458	I(1)(3)(5)	See Footnotes(1)(3)(5)
Common Stock	0	D(1)(4)(5)

Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4)	2. Date Exercisable and Expiration Date (Month/Day/Year)		3. Title and Amount of Securities Underlying Derivative Security (Instr. 4)		4. Conversion or Exercise Price of Derivative Security	5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	6. Nature of Indirect Beneficial Ownership (Instr. 5)
	Date Exercisable	Expiration Date	Title	Amount or Number of Shares

1. Name and Address of Reporting Person* Genstar VI GP AIV LTD. (Last) (First) (Middle) C/O GENSTAR CAPITAL LLC FOUR EMBARCADERO CENTER, SUITE 1900 (Street) SAN FRANCISCO CA 94111 (City) (State) (Zip) Relationship of Reporting Person(s) to Issuer Director X 10% Owner Officer (give title below) Other (specify below)

1. Name and Address of Reporting Person* Genstar Capital Partners VI AIV, L.P. (Last) (First) (Middle) C/O GENSTAR CAPITAL LLC FOUR EMBARCADERO CENTER, SUITE 1900 (Street) SAN FRANCISCO CA 94111 (City) (State) (Zip) Relationship of Reporting Person(s) to Issuer Director X 10% Owner Officer (give title below) Other (specify below)

1. Name and Address of Reporting Person* Genstar Capital Partners VI AIV (DEL), L.P. (Last) (First) (Middle) C/O GENSTAR CAPITAL LLC FOUR EMBARCADERO CENTER, SUITE 1900 (Street) SAN FRANCISCO CA 94111 (City) (State) (Zip) Relationship of Reporting Person(s) to Issuer Director X 10% Owner Officer (give title below) Other (specify below)

1. Name and Address of Reporting Person* Stargen VI AIV, LP (Last) (First) (Middle) C/O GENSTAR CAPITAL LLC FOUR EMBARCADERO CENTER, SUITE 1900 (Street) SAN FRANCISCO CA 94111 (City) (State) (Zip) Relationship of Reporting Person(s) to Issuer Director X 10% Owner Officer (give title below) Other (specify below)

1. Name and Address of Reporting Person* Genstar V GP AIV LTD. (Last) (First) (Middle) C/O GENSTAR CAPITAL LLC FOUR EMBARCADERO CENTER, SUITE 1900 (Street) SAN FRANCISCO CA 94111 (City) (State) (Zip) Relationship of Reporting Person(s) to Issuer Director X 10% Owner Officer (give title below) Other (specify below)

1. Name and Address of Reporting Person* Clark James Ryan (Last) (First) (Middle) C/O GENSTAR CAPITAL LLC FOUR EMBARCADERO CENTER, SUITE 1900 (Street) SAN FRANCISCO CA 94111 (City) (State) (Zip) Relationship of Reporting Person(s) to Issuer X Director 10% Owner Officer (give title below) Other (specify below)

1. Name and Address of Reporting Person* Genstar Capital Partners V AIV, L.P. (Last) (First) (Middle) C/O GENSTAR CAPITAL LLC FOUR EMBARCADERO CENTER, SUITE 1900 (Street) SAN FRANCISCO CA 94111 (City) (State) (Zip) Relationship of Reporting Person(s) to Issuer Director X 10% Owner Officer (give title below) Other (specify below)

1. Name and Address of Reporting Person* Genstar Capital V AIV, L.P. (Last) (First) (Middle) C/O GENSTAR CAPITAL LLC FOUR EMBARCADERO CENTER, SUITE 1900 (Street) SAN FRANCISCO CA 94111 (City) (State) (Zip) Relationship of Reporting Person(s) to Issuer Director X 10% Owner Officer (give title below) Other (specify below)

1. Name and Address of Reporting Person* Genstar Capital VI AIV, L.P. (Last) (First) (Middle) C/O GENSTAR CAPITAL LLC FOUR EMBARCADERO CENTER, SUITE 1900 (Street) SAN FRANCISCO CA 94111 (City) (State) (Zip) Relationship of Reporting Person(s) to Issuer Director X 10% Owner Officer (give title below) Other (specify below)

1. Name and Address of Reporting Person* Stargen V AIV, LP (Last) (First) (Middle) C/O GENSTAR CAPITAL LLC FOUR EMBARCADERO CENTER, SUITE 1900 (Street) SAN FRANCISCO CA 94111 (City) (State) (Zip) Relationship of Reporting Person(s) to Issuer Director X 10% Owner Officer (give title below) Other (specify below)

Explanation of Responses:

1. 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.

2. 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.

3. 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.

4. James Ryan Clark is a director of each of Genstar VI LTD and Genstar V LTD and directly owns no shares of the Issuer.

5. 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.

Remarks:

Exhibit 99.1 (Joint Filer Information) is incorporated herein by reference.

	By: /s/ James Ryan Clark, Director	04/16/2019
	** Signature of Reporting Person	Date
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