0001209191-21-036711.txt : 20210528
0001209191-21-036711.hdr.sgml : 20210528
20210528201827
ACCESSION NUMBER: 0001209191-21-036711
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210526
FILED AS OF DATE: 20210528
DATE AS OF CHANGE: 20210528
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Picozza Enrico
CENTRAL INDEX KEY: 0001787129
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38118
FILM NUMBER: 21982462
MAIL ADDRESS:
STREET 1: 11099 N. TORREY PINES ROAD
STREET 2: 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
2021-05-26
0
0001651944
DermTech, Inc.
DMTK
0001787129
Picozza Enrico
C/O DERMTECH, INC.
11099 N. TORREY PINES RD. SUITE 100
LA JOLLA
CA
92037
1
0
0
0
Common Stock
2021-05-26
4
A
0
4497
0.00
A
18497
D
Common Stock
2021-05-26
4
A
0
4661
0.00
A
23158
D
Common Stock
2021-05-26
4
S
0
20297
40.0836
D
500000
I
By HLM Venture Partners IV, L.P.
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 four equal quarterly
installments over the one-year period following the grant date, subject to the reporting person's continued service. The shares underlying any
vested restricted stock units shall be released to the reporting person on May 26, 2022.
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, and the shares underlying
the restricted stock units shall be released to the reporting person, on January 1, 2023, subject to the reporting person's continued service.
This transaction was executed in multiple trades at prices ranging from $40.00 to $40.32, inclusive. The reported price reflects the weighted-average sale price. The reporting person hereby undertakes to provide upon request to the Securities and Exchange Commission staff, the Issuer or a security holder of the Issuer full information regarding the number of shares sold at each separate price within the ranges set forth in footnote (3) of this Form 4.
The reporting person has a pecuniary interest in HLM Venture Associates IV, LLC ("HLM GP"). HLM GP is the general partner of HLM Venture Partners IV, L.P., which owns the reported securities. The reporting person disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest therein.
/s/ Jason S. Miller, attorney-in-fact
2021-05-28