0001209191-21-059998.txt : 20211007
0001209191-21-059998.hdr.sgml : 20211007
20211007202642
ACCESSION NUMBER: 0001209191-21-059998
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211005
FILED AS OF DATE: 20211007
DATE AS OF CHANGE: 20211007
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Keraudy Nathalie Gerschtein
CENTRAL INDEX KEY: 0001885929
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38118
FILM NUMBER: 211313622
MAIL ADDRESS:
STREET 1: C/O DERMTECH, INC.
STREET 2: 11099 N. TORREY PINES ROAD, SUITE 100
CITY: LA JOLLA
STATE: CA
ZIP: 92037
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: DermTech, Inc.
CENTRAL INDEX KEY: 0001651944
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MEDICAL LABORATORIES [8071]
IRS NUMBER: 842870849
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 11099 N. TORREY PINES ROAD
STREET 2: SUITE 100
CITY: LA JOLLA
STATE: CA
ZIP: 92037
BUSINESS PHONE: 858-450-4222
MAIL ADDRESS:
STREET 1: 11099 N. TORREY PINES ROAD
STREET 2: SUITE 100
CITY: LA JOLLA
STATE: CA
ZIP: 92037
FORMER COMPANY:
FORMER CONFORMED NAME: Constellation Alpha Capital Corp.
DATE OF NAME CHANGE: 20150827
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2021-10-05
0
0001651944
DermTech, Inc.
DMTK
0001885929
Keraudy Nathalie Gerschtein
C/O DERMTECH, INC.
11099 N. TORREY PINES RD. SUITE 100
LA JOLLA
CA
92037
1
0
0
0
Common Stock
2021-10-05
4
A
0
4497
0.00
A
4497
D
Common Stock
2021-10-05
4
A
0
2998
0.00
A
7495
D
The securities awarded are in the form of restricted stock units issued pursuant to the issuer's 2020 Equity Incentive Plan. Each restricted stock unit represents a contingent right to receive one share of issuer common stock. The restricted stock units shall vest in three equal annual installments over the three-year period following the grant date, subject to the reporting person's continued service.
The securities awarded are in the form of restricted stock units issued pursuant to the issuer's 2020 Equity Incentive Plan. Each restricted stock unit represents a contingent right to receive one share of issuer common stock. The restricted stock units shall vest in one installment on May 26, 2022.
/s/ Jason S. Miller, attorney-in-fact
2021-10-07