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Dermata Therapeutics, Inc. Director's Dealing 2021

Aug 17, 2021

35467_dirs_2021-08-17_ac83cb8c-f782-4037-9b0f-f51844a17a6e.zip

Director's Dealing

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SEC Form 4 — Statement of Changes in Beneficial Ownership

Issuer: Dermata Therapeutics, Inc. (DRMA)
CIK: 0001853816
Period of Report: 2021-08-17

Reporting Person: INSLEY THOMAS (Chief Financial Officer)

Non-Derivative Transactions

Date Security Code Shares Price A/D Holdings After Ownership
2021-08-17 Common Stock C 4581 Acquired 14337 Indirect

Derivative Transactions

Date Security Exercise Price Code Shares A/D Expiration Underlying Ownership
2021-08-17 Series 1d Preferred Stock $ C 30910 Disposed Common Stock (4581) Indirect

Footnotes

F1: The Series 1d Preferred Stock converted into Common Stock of the Issuer upon consummation of the Issuer's initial public offering (the "IPO"). The Series 1d Preferred Stock was convertible at any time and had no expiration date.

F2: Reporting Person disclaims beneficial ownership of these securities except to the extent of their pecuniary interest therein, and the inclusion of these shares in this report shall not be deemed an admission of beneficial ownership of all of the reported shares for purposes of Section 16 or for any other purpose.