Thomas Insley - 17 Aug 2021 Form 4 Insider Report for Dermata Therapeutics, Inc. (DRMA)

Source evidence Original filing metadata and source links for verification. 4 source fields
SEC form
4
Accepted by SEC
17 Aug 2021, 12:40:45 UTC
Prior SEC filing
12 Aug 2021
Source filing
View source filing
Reporting owner 1 detail
Reporting owner signature
/s/ Gerald T. Proehl, Attorney-in-Fact

Key filing fact

Thomas Insley filed Form 4 for Dermata Therapeutics, Inc. (DRMA) on 17 Aug 2021.

Key facts

  • This page summarizes Thomas Insley's Form 4 filing for Dermata Therapeutics, Inc. (DRMA).
  • 2 reported transactions and 1 derivative row are listed below.
  • Accepted by SEC: 17 Aug 2021, 12:40.

Change

  • Previous filing in this sequence was filed on 12 Aug 2021.
  • Current net transaction value: $0.

Research use

  • This tells you what this filing adds before you inspect full transaction and derivative tables.
  • You can trace every row back to the original SEC filing document.

Evidence

Filed on Form 4

Ownership activity is grounded in SEC Form 4 disclosures.

View source filing

Reported non-derivative transactions

Shares, units, or other non-derivative securities reported in this filing.

DRMA transaction

Common Stock

Conversion of derivative security

Transaction value
Shares
+4,581
Change %
+47%
Price
Shares after
14,337
Date
17 Aug 2021
Ownership
By Insley Family Trust
Footnotes
F1, F2

Reported derivative securities

Options, warrants, convertible securities, or similar derivative positions disclosed in the filing.

DRMA transaction Derivative

Series 1d Preferred Stock

Conversion of derivative security

Transaction value
$0
Shares
-30,910
Change %
-100%
Price
$0.000000*
Shares after
0
Date
17 Aug 2021
Ownership
By Insley Family Trust
Underlying class
Common Stock
Underlying amount
4,581
Exercise price
Footnotes
F1, F2
* marks a reported price that did not pass the local price check.

Additional SEC filing notes

Filing notes and footnotes

Explanation of responses 2 footnotes

Footnote 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.

Footnote 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.

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