Form 4 for DRMA Dermata Therapeutics, Inc.
Accepted 2021-08-17 00:00:00 ET · period of report 2021-08-17 · accession 0000905718-21-001108 · SEC index · Original document
Summary rows
Aggregated the way they appear in lists: one row per insider, transaction code and security table.
| X | Filed | Traded | Ticker | Insider | Title | Type | Price | Qty | Owned | ΔOwn | Value |
|---|---|---|---|---|---|---|---|---|---|---|---|
| DM | 2021-08-17 | 2021-08-17 | DRMA | Proehl Investment Ventures LLC | 10% | C - Cnv Deriv | — | +1.99M | 1.57M | New | — |
| DM | 2021-08-17 | 2021-08-17 | DRMA | Proehl Investment Ventures LLC | 10% | C - Cnv Deriv | $0.00 | -36.34M | 0 | -100% | $0 |
Purchase Sale Sale after option exercise All abbreviations
Every reported transaction
| # | Table | Security | Date | Code | A/D | Shares | Price | Owned after | Own | Exercise / expiry | Underlying | Footnotes |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | Common | Common Stock | 2021-08-17 | C | A | 361,147 | — | 1,278,464 | D | — | — | (F1) 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 | Common | Common Stock | 2021-08-17 | C | A | 111,951 | — | 1,390,415 | D | — | — | (F2) 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 | Common | Common Stock | 2021-08-17 | C | A | 85,640 | — | 2,905,544 | D | — | — | (F5) 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. |
| 4 | Common | Common Stock | 2021-08-17 | C | A | 1,247,904 | — | 2,819,904 | D | — | — | (F4) The Series 1c Preferred Stock converted 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 | Common | Common Stock | 2021-08-17 | C | A | 181,585 | — | 1,572,000 | D | — | — | (F3) 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. |
| 6 | Derivative | Series 1b Preferred Stock | 2021-08-17 | C | D | 3,722,500 | $0.00 | 0 | D | — · — to — | 181,585 Common Stock | (F3) 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. |
| 7 | Derivative | Series 1d Preferred Stock | 2021-08-17 | C | D | 2,436,657 | $0.00 | 0 | D | — · — to — | 361,147 Common Stock | (F1) 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. |
| 8 | Derivative | Series 1a Preferred Stock | 2021-08-17 | C | D | 2,295,000 | $0.00 | 0 | D | — · — to — | 111,951 Common Stock | (F2) 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. |
| 9 | Derivative | Warrant to Purchase Common Stock | 2021-08-17 | C | A | 27,987 | $0.00 | 27,987 | D | $20.50 · 2016-11-15 to 2026-03-14 | 27,987 Common Stock | |
| 10 | Derivative | Series 1c Preferred Stock | 2021-08-17 | C | D | 25,582,050 | $0.00 | 0 | D | — · — to — | 1,247,904 Common Stock | (F4) The Series 1c Preferred Stock converted 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. |
| 11 | Derivative | Series 1 Preferred Stock | 2021-08-17 | C | D | 1,755,622 | $0.00 | 0 | D | — · — to — | 85,640 Common Stock | (F5) 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. |
| 12 | Derivative | Series 1a Warrants | 2021-08-17 | C | D | 573,750 | $0.00 | 0 | D | — · 2016-11-15 to 2026-03-14 | 27,987 Common Stock | (F6) The Series 1a Preferred Warrants converted into warrants to purchase Common Stock in connection with the IPO. |