0001651944-24-000021.txt : 20240307
0001651944-24-000021.hdr.sgml : 20240307
20240307200420
ACCESSION NUMBER: 0001651944-24-000021
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240305
FILED AS OF DATE: 20240307
DATE AS OF CHANGE: 20240307
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Akhavan Ramin
CENTRAL INDEX KEY: 0001838324
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38118
FILM NUMBER: 24732009
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]
ORGANIZATION NAME: 08 Industrial Applications and Services
IRS NUMBER: 842870849
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 12340 EL CAMINO REAL
CITY: SAN DIEGO
STATE: CA
ZIP: 92130
BUSINESS PHONE: 858-450-4222
MAIL ADDRESS:
STREET 1: 12340 EL CAMINO REAL
CITY: SAN DIEGO
STATE: CA
ZIP: 92130
FORMER COMPANY:
FORMER CONFORMED NAME: Constellation Alpha Capital Corp.
DATE OF NAME CHANGE: 20150827
4
1
wk-form4_1709859851.xml
FORM 4
X0508
4
2024-03-05
0
0001651944
DermTech, Inc.
DMTK
0001838324
Akhavan Ramin
C/O DERMTECH, INC.
12340 EL CAMINO REAL
SAN DIEGO
CA
92130
0
1
0
0
General Counsel
0
Common Stock
2024-03-05
4
F
0
1758
0.88
D
134159
D
Common Stock
2024-03-05
4
F
0
1989
0.88
D
132170
D
The shares were withheld by the issuer 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.
The shares were withheld by the issuer to satisfy the tax withholding obligation that arose upon the vesting of certain restricted stock units granted to the reporting person on March 7, 2023.
/s/ Jason S. Miller, attorney-in-fact
2024-03-07