FORM 3
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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(Print or Type Responses)
1. Name and Address of Reporting Person *
  INSLEY THOMAS
2. Date of Event Requiring Statement (Month/Day/Year)
08/12/2021
3. Issuer Name and Ticker or Trading Symbol
Dermata Therapeutics, Inc. [DRMA]
(Last)
(First)
(Middle)
3525 DEL MAR HEIGHTS RD., #332
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner
__X__ Officer (give title below) _____ Other (specify below)
Chief Financial Officer
5. If Amendment, Date Original Filed(Month/Day/Year)
(Street)

SAN DIEGO, CA 92130
6. Individual or Joint/Group Filing(Check Applicable Line)
_X_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
(City)
(State)
(Zip)
Table I - Non-Derivative Securities Beneficially Owned
1.Title of Security
(Instr. 4)
2. Amount of Securities Beneficially Owned
(Instr. 4)
3. Ownership Form: Direct (D) or Indirect (I)
(Instr. 5)
4. Nature of Indirect Beneficial Ownership
(Instr. 5)
Common Stock 9,756
I
By Insley Family Trust (4)

Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. SEC 1473 (7-02)
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Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 4)
2. Date Exercisable and Expiration Date
(Month/Day/Year)
3. Title and Amount of Securities Underlying Derivative Security
(Instr. 4)
4. Conversion or Exercise Price of Derivative Security 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 5)
6. Nature of Indirect Beneficial Ownership
(Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Option (Right to Buy) 03/31/2021 03/31/2031 Common Stock 2,439 (1) $ 5.74 D  
Stock Option (Right to Buy)   (2) 03/31/2031 Common Stock 2,439 (1) $ 5.74 D  
Series 1d Preferred Stock   (3)   (3) Common Stock 30,910 (3) $ (3) I By Insley Family Trust (4)

Reporting Owners

Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
INSLEY THOMAS
3525 DEL MAR HEIGHTS RD., #332
SAN DIEGO, CA 92130
      Chief Financial Officer  

Signatures

/s/ Gerald T. Proehl, Attorney-in Fact 08/12/2021
**Signature of Reporting Person Date

Explanation of Responses:

* If the form is filed by more than one reporting person, see Instruction 5(b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
(1) Shares reported reflect the 1 for 20.5 stock split effected July 1, 2021.
(2) Options vest in 48 equal monthly installments commencing January 1, 2021.
(3) The Series 1d Preferred Stock is convertible into shares of Common Stock at a conversion ratio equal to 80% of the offering price in connection with the Issuer's initial public offering ("IPO"). All shares of Series 1d Preferred Stock will be converted into 4,581 shares of Common Stock of the Issuer upon consummation of the IPO. The conversion ratio reflects the Stock Split.
(4) Reporting person disclaims beneficial ownership of these securities except to the extent of their pecuniary interest therein, and the inclusion of these shares in this report shall not be deemed an admission of beneficial ownership of all of the reported shares for purposes of Section 16 or for any other purpose.
 
Remarks:
Exhibit 24: Power of Attorney

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