Sec Form 4 Filing - Bedoya-Toro Munera Maria E @ Dermata Therapeutics, Inc. - 2021-08-17

Insider filing report for Changes in Beneficial Ownership
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FORM 4
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
Bedoya-Toro Munera Maria E
2. Issuer Name and Ticker or Trading Symbol
Dermata Therapeutics, Inc. [ DRMA]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
Senior Vice President
(Last) (First) (Middle)
3525 DEL MAR HEIGHTS RD., #332
3. Date of Earliest Transaction (MM/DD/YY)
08/17/2021
(Street)
SAN DIEGO, CA92130
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)
7. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 08/17/2021 C 9,162 A 28,674 I By Munera Family Trust ( 7 )
Common Stock 08/17/2021 C 19,512 A 48,186 I By Munera Family Trust ( 7 )
Common Stock 08/17/2021 C 4,878 A 53,064 I By Munera Family Trust ( 7 )
Common Stock 08/17/2021 C 17,421 A 70,485 I By Munera Family Trust ( 7 )
Common Stock 08/17/2021 C 13,658 A 84,143 I By Munera Family Trust ( 7 )
Common Stock 30,487 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 4. Transaction Code
(Instr. 8)
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4, and 5)
6. Date Exercisable and Expiration Date
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(Instr. 3 and 4)
8. Price of Derivative Security
(Instr. 5)
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 4)
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 4)
11. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Series 1d Preferred Stock ( 1 ) 08/17/2021 C 61,821 ( 1 ) ( 1 ) Common Stock 9,162 $ 0 0 I By Munera Family Trust ( 7 )
Series 1a Preferred Stock ( 2 ) 08/17/2021 C 400,000 ( 2 ) ( 2 ) Common Stock 19,512 $ 0 0 I By Munera Family Trust ( 7 )
Series 1b Preferred Stock ( 3 ) 08/17/2021 C 100,000 ( 3 ) ( 3 ) Common Stock 4,878 $ 0 0 I By Munera Family Trust ( 7 )
Series 1c Preferred Stock ( 4 ) 08/17/2021 C 357,142 ( 4 ) ( 4 ) Common Stock 17,421 $ 0 0 I By Munera Family Trust ( 7 )
Series 1 Preferred Stock ( 5 ) 08/17/2021 C 280,000 ( 5 ) ( 5 ) Common Stock 13,658 $ 0 0 I By Munera Family Trust ( 7 )
Series 1a Warrants ( 6 ) 08/17/2021 C 100,000 11/15/2016 03/14/2026 Common Stock 4,878 $ 0 0 I By Munera Family Trust ( 7 )
Warrant to Purchase Common Stock $ 20.5 08/17/2021 C 4,878 11/15/2016 03/14/2026 Common Stock 4,878 $ 0 4,878 I By Munera Family Trust ( 7 )
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Bedoya-Toro Munera Maria E
3525 DEL MAR HEIGHTS RD., #332
SAN DIEGO, CA92130
Senior Vice President
Signatures
/s/ Gerald T. Proehl, Attorney-in-Fact 08/17/2021
Signature of Reporting Person Date
Explanation of Responses:
( 1 )The Series 1d Preferred Stock automatically 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.
( 2 )The Series 1a Preferred Stock converted into Common Stock of the Issuer upon consummation of the IPO. The Series 1a Preferred Stock was convertible at any time and had no expiration date.
( 3 )The Series 1b Preferred Stock converted into Common Stock of the Issuer upon consummation of the IPO. The Series 1b Preferred Stock was convertible at any time and had no expiration date.
( 4 )The Series 1c Preferred Stock co nverted into Common Stock of the Issuer upon consummation of the IPO. The Series 1c Preferred Stock was convertible at any time and had no expiration date.
( 5 )The Series 1 Preferred Stock converted into Common Stock of the Issuer upon consummation of the IPO. The Series 1 Preferred Stock was convertible at any time and had no expiration date.
( 6 )The Series 1a Preferred Warrants converted into warrants to purchase Common Stock in connection with the IPO.
( 7 )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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