0001209191-23-017687.txt : 20230309
0001209191-23-017687.hdr.sgml : 20230309
20230309200145
ACCESSION NUMBER: 0001209191-23-017687
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230307
FILED AS OF DATE: 20230309
DATE AS OF CHANGE: 20230309
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Akhavan Ramin
CENTRAL INDEX KEY: 0001838324
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38118
FILM NUMBER: 23721299
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
2023-03-07
0
0001651944
DermTech, Inc.
DMTK
0001838324
Akhavan Ramin
C/O DERMTECH, INC.
11099 N. TORREY PINES RD. SUITE 100
LA JOLLA
CA
92037
0
1
0
0
General Counsel
Common Stock
2023-03-07
4
S
0
6751
4.06
D
84317
D
Common Stock
2023-03-07
4
A
0
66877
0.00
A
151194
D
The shares were sold by the reporting person to generate proceeds used to satisfy the tax withholding obligation that arose upon the vesting of certain restricted stock units granted to the reporting person on March 23, 2022.
Includes 1,361 shares acquired under the Issuer's Employee Stock Purchase Plan on February 28, 2023.
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. Subject to the reporting person's continued service, (i) three
thirty-sixths (3/36) of the restricted stock units shall vest on June 5, 2023 and (ii) the remaining thirty-three thirty-sixths (33/36) shall vest in
eleven (11) equal installments of three thirty-sixths (3/36) on the fifth day of each third month following June 5, 2023 until the final vesting date on
March 5, 2026.
/s/ Mo Tashakor, attorney-in-fact
2023-03-09