FORM 4
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN 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 *
HALE DAVID F
  2. Issuer Name and Ticker or Trading Symbol
Dermata Therapeutics, Inc. [DRMA]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__X__ Director __X__ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
(Last)
(First)
(Middle)
3525 DEL MAR HEIGHTS RD., #332
3. Date of Earliest Transaction (Month/Day/Year)
08/17/2021
(Street)

SAN DIEGO, CA 92130
4. If Amendment, Date Original Filed(Month/Day/Year)
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 Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)
7. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 08/17/2021   C   44,777 A (1) 299,411 I By Hale BioVentures LLC (7)
Common Stock 08/17/2021   C   12,195 A (2) 311,606 I By Hale BioVentures LLC (7)
Common Stock 08/17/2021   C   20,000 A (3) 331,606 I By Hale BioVentures LLC (7)
Common Stock 08/17/2021   C   174,216 A (4) 505,822 I By Hale BioVentures LLC (7)
Common Stock 08/17/2021   C   27,103 A (5) 532,925 I By Hale BioVentures LLC (7)
Common Stock 08/17/2021   P   35,714 A (8) 35,714 I By Hale Family Trust (7)
Common Stock               3,658 D  
Common Stock               12,195 I By Hale Trading Company LP (7)

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Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code
(Instr. 8)
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4, and 5)
6. Date Exercisable and Expiration Date
(Month/Day/Year)
7. Title and Amount of Underlying Securities
(Instr. 3 and 4)
8. Price of Derivative Security
(Instr. 5)
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 4)
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 4)
11. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Series 1d Preferred Stock (1) 08/17/2021   C     302,112   (1)   (1) Common Stock 44,777 $ 0 0 I By Hale BioVentures LLC (7)
Series 1a Preferred Stock (2) 08/17/2021   C     250,000   (2)   (2) Common Stock 12,195 $ 0 0 I By Hale BioVentures LLC (7)
Series 1b Preferred Stock (3) 08/17/2021   C     410,000   (3)   (3) Common Stock 20,000 $ 0 0 I By Hale BioVentures LLC (7)
Series 1c Preferred Stock (4) 08/17/2021   C     3,571,428   (4)   (4) Common Stock 174,216 $ 0 0 I By Hale BioVentures LLC (7)
Series 1 Preferred Stock (5) 08/17/2021   C     555,622   (5)   (5) Common Stock 27,103 $ 0 0 I By Hale BioVentures LLC (7)
Series 1a Warrants (6) 08/17/2021   C     62,500 11/15/2016 03/14/2026 Common Stock 3,048 $ 0 0 I By Hale BioVentures LLC (7)
Warrant to Purchase Common Stock $ 20.5 08/17/2021   C   3,048   11/15/2016 03/14/2026 Common Stock 3,048 $ 0 3,048 I By Hale BioVentures LLC (7)
Warrant to Purchase Common Stock $ 7 08/17/2021   P   35,714   08/17/2021 08/17/2026 Common Stock 35,714 (8) 35,714 I By Hale Family Trust (7)

Reporting Owners

Reporting Owner Name / Address Relationships
 Director  10% Owner  Officer  Other
HALE DAVID F
3525 DEL MAR HEIGHTS RD., #332
SAN DIEGO, CA 92130
  X   X    

Signatures

 /s/ Gerald T. Proehl, Attorney-in-Fact   08/17/2021
**Signature of Reporting Person Date

Explanation of Responses:

* If the form is filed by more than one reporting person, see Instruction 4(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) The Series 1d Preferred Stock automatically converted into Common Stock of the Issuer upon consummation of the Issuer's initial public offering (the "IPO"). The Series 1d Preferred Stock was convertible at any time and had no expiration date.
(2) The Series 1a Preferred Stock converted into Common Stock of the Issuer upon consummation of the IPO. The Series 1a Preferred Stock was convertible at any time and had no expiration date.
(3) The Series 1b Preferred Stock converted into Common Stock of the Issuer upon consummation of the IPO. The Series 1b Preferred Stock was convertible at any time and had no expiration date.
(4) The Series 1c Preferred Stock converted into Common Stock of the Issuer upon consummation of the IPO. The Series 1c Preferred Stock was convertible at any time and had no expiration date.
(5) The Series 1 Preferred Stock converted into Common Stock of the Issuer upon consummation of the IPO. The Series 1 Preferred Stock was convertible at any time and had no expiration date.
(6) The Series 1a Preferred Warrants converted into warrants to purchase Common Stock in connection with the IPO.
(7) 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.
(8) Reporting Person purchased 35,714 Units in the IPO at $7.00 per Unit. Each Unit consists of one share of Common Stock and one warrant to purchase one share of Common Stock.

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