| Accession Number: | 0001209191-23-050435 |
| Date: | 2023-09-20 |
| Issuer: | DERMTECH, INC. (DMTK) |
| Original Submission Date: |
AGUILLARD MARK BRYAN
C/O DERMTECH, INC.
12340 EL CAMINO REAL
SAN DIEGO, CA 92130
| Title of Security | Transaction Date | 2a. Deemed Execution Date | Transaction Code | Shares | Acquired or Disposed | Price per share | 5. Amount of Securities Beneficially Owned Following Reported Transaction | 6. Ownership Form Direct or Indirect | Nature of Indirect Ownership |
|---|---|---|---|---|---|---|---|---|---|
| COMMON STOCK | 2023-09-20 | A | 90,000 | a | $0.00 | 90,000 | direct |
| Title of Derivative Security | Conversion or Exercise Price of Derivative Security | Transaction Date | Deemed Execution Date | Transaction Code | Number of Derivative Securities Acquired (A) or Disposed of (D) | Date Exercisable | Expiration Date | Title and Amount of Securities Underlying Derivative Security | Price of Derivative Security | Number of derivative Securities Beneficially Owned Following Reported Transaction(s) | Ownership Form: Direct (D) or Indirect (I) | Nature of Indirect Beneficial Ownership |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| STOCK OPTION (RIGHT TO BUY) | 1.69 | 2023-09-20 | deemed execution date | A | 90,000 (a) | 2033-09-20 | common stock 90,000 | $1.69 | 90,000 | direct |
| ID | footnote |
|---|---|
| f1 | the securities awarded are in the form of restricted stock units issued pursuant to the issuer's 2022 inducement plan, as amended. each restricted stock unit represents a contingent right to receive one share of issuer common stock. subject to the reporting person's continued service, (i) twelve forty-eighths (12/48) of the restricted stock units shall vest on september 20, 2024 and (ii) the remaining the remaining thirty-six forty-eighths (36/48) shall vest intwelve (12) equal installments of three forty-eighths (3/48) on the twentieth day of each third month following september 20, 2024 until the final vesting date on september 20, 2027. |
| f2 | subject to the reporting person's continued service, (i) twelve forty-eighths (12/48) of the shares of issuer common stock exercisable pursuant to this option shall vest on september 20, 2024 and (ii) the remaining thirty-six forty-eighths (36/48) shall vest in a series of thirty-six (36) equal monthly installments of one forty-eighth (1/48) over the thirty-six (36) months thereafter until the final vesting date on september 20, 2027. |
