0001654954-23-007925.txt : 20230612 0001654954-23-007925.hdr.sgml : 20230612 20230612172746 ACCESSION NUMBER: 0001654954-23-007925 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20230612 DATE AS OF CHANGE: 20230612 EFFECTIVENESS DATE: 20230612 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Dermata Therapeutics, Inc. CENTRAL INDEX KEY: 0001853816 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-483997 FILM NUMBER: 231009440 BUSINESS ADDRESS: STREET 1: 3525 DEL MAR HEIGHTS RD., #322 CITY: SAN DIEGO STATE: CA ZIP: 92130 BUSINESS PHONE: (858)-223-0882 MAIL ADDRESS: STREET 1: 3525 DEL MAR HEIGHTS RD., #322 CITY: SAN DIEGO STATE: CA ZIP: 92130 D 1 primary_doc.xml X0708 D LIVE 0001853816 Dermata Therapeutics, Inc. 3525 DEL MAR HEIGHTS RD. SUITE 322 San Diego CA CALIFORNIA 92130 858-800-2543 DELAWARE None Corporation true 2021 Gerald T. Proehl 3525 DEL MAR HEIGHTS RD. SUITE 322 San Diego CA CALIFORNIA 92130 Director Executive Officer Kyri K. Van Hoose 3525 DEL MAR HEIGHTS RD. SUITE 322 San Diego CA CALIFORNIA 92130 Executive Officer Christopher J. Nardo 3525 DEL MAR HEIGHTS RD. SUITE 322 San Diego CA CALIFORNIA 92130 Executive Officer Maria Bedoya Toro Munera 3525 DEL MAR HEIGHTS RD. SUITE 322 San Diego CA CALIFORNIA 92130 Executive Officer David Hale 3525 DEL MAR HEIGHTS RD. SUITE 322 San Diego CA CALIFORNIA 92130 Director Wendell Wierenga 3525 DEL MAR HEIGHTS RD. SUITE 322 San Diego CA CALIFORNIA 92130 Director Kathleen Scott 3525 DEL MAR HEIGHTS RD. SUITE 322 San Diego CA CALIFORNIA 92130 Director Steven J. Mento 3525 DEL MAR HEIGHTS RD. SUITE 322 San Diego CA CALIFORNIA 92130 Director Mary Fisher 3525 DEL MAR HEIGHTS RD. SUITE 322 San Diego CA CALIFORNIA 92130 Director Andrew Sandler 3525 DEL MAR HEIGHTS RD. SUITE 322 San Diego CA CALIFORNIA 92130 Director Brittany Bradrick 3525 DEL MAR HEIGHTS RD. SUITE 322 San Diego CA CALIFORNIA 92130 Director Other Technology Decline to Disclose 06b false 2023-05-26 false true true false 0 H.C. Wainwright & Co., LLC 375 None None 430 PARK AVENUE 3RD FLOOR NEW YORK NY NEW YORK 10022 All States Indefinite 0 Indefinite Value of warrants indeterminable as they were issued in connection with a concurrent registered direct offering of common stock. false 2 0 true 0 true See Item 13. Fees payable to placement agent solely for the issuance of the warrants indeterminable. Excludes value of warrants issued to placement agent. 0 true true DERMATA THERAPEUTICS, INC. /s/ Gerald T. Proehl Gerald T. Proehl Chief Executive Officer 2023-06-12