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Dermata Therapeutics, Inc. Director's Dealing 2021

Aug 13, 2021

35467_dirs_2021-08-12_9c15efdf-a675-49f0-b17e-2d3756361c9a.zip

Director's Dealing

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SEC Form 3 — Initial Statement of Beneficial Ownership

Issuer: Dermata Therapeutics, Inc. (DRMA)
CIK: 0001853816
Period of Report: 2021-08-12

Reporting Person: Nardo Christopher J. (Senior VP, Development)

Holdings (Non-Derivative)

Security Shares Ownership
Common Stock 25121 Direct

Holdings (Derivative)

Security Exercise Price Expiration Underlying Shares Ownership
Stock Option (Right to Buy) $5.74 2031-03-31 Common Stock (1585) Direct
Stock Option (Right to Buy) $5.74 2031-03-31 Common Stock (2439) Direct
Stock Option (Right to Buy) $5.74 2031-03-31 Common Stock (6097) Direct
Stock Option (Right to Buy) $5.74 2031-03-31 Common Stock (6097) Direct
Stock Option (Right to Buy) $5.74 2031-03-31 Common Stock (24390) Direct
Stock Option (Right to Buy) $5.74 2031-03-31 Common Stock (24390) Direct
Series 1 Preferred Stock $ Common Stock (50000) Indirect

Footnotes

F1: Shares reported reflect the 1 for 20.5 stock split effected July 1, 2021.

F2: Options vest in 48 equal monthly installments commencing September 1, 2017.

F3: Options vest in 48 equal monthly installments commencing January 1, 2018.

F4: Options vest in 48 equal monthly installments commencing December 19, 2018.

F5: Options vest in 48 equal monthly installments commencing December 11, 2019.

F6: Options vest in 48 equal monthly installments commencing January 1, 2021.

F7: The Series 1 Preferred Stock is convertible into shares of Common Stock in connection with the Issuer's initial public offering ("IPO"). All shares of Series 1 Preferred Stock will be converted into 2,439 shares of Common Stock of the Issuer upon consummation of the IPO. The conversion ratio reflects the Stock Split.

F8: 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.