<SEC-DOCUMENT>0000905718-21-001110-index.html : 20210817
<SEC-HEADER>0000905718-21-001110.hdr.sgml : 20210817
<ACCEPTANCE-DATETIME>20210817124946
ACCESSION NUMBER:		0000905718-21-001110
CONFORMED SUBMISSION TYPE:	4
PUBLIC DOCUMENT COUNT:		1
CONFORMED PERIOD OF REPORT:	20210817
FILED AS OF DATE:		20210817
DATE AS OF CHANGE:		20210817

REPORTING-OWNER:	

	OWNER DATA:	
		COMPANY CONFORMED NAME:			HALE DAVID F
		CENTRAL INDEX KEY:			0001024004
		STANDARD INDUSTRIAL CLASSIFICATION:	PHARMACEUTICAL PREPARATIONS [2834]
		STATE OF INCORPORATION:			CA
		FISCAL YEAR END:			1231

	FILING VALUES:
		FORM TYPE:		4
		SEC ACT:		1934 Act
		SEC FILE NUMBER:	001-40739
		FILM NUMBER:		211182036

	MAIL ADDRESS:	
		STREET 1:		1042-B NORTH EL CAMINO REAL, SUITE 430
		CITY:			ENCINITAS
		STATE:			CA
		ZIP:			92024

ISSUER:		

	COMPANY DATA:	
		COMPANY CONFORMED NAME:			Dermata Therapeutics, Inc.
		CENTRAL INDEX KEY:			0001853816
		STANDARD INDUSTRIAL CLASSIFICATION:	PHARMACEUTICAL PREPARATIONS [2834]
		IRS NUMBER:				000000000
		STATE OF INCORPORATION:			DE
		FISCAL YEAR END:			1231

	BUSINESS ADDRESS:	
		STREET 1:		3525 DEL MAR HEIGHTS RD., #332
		CITY:			SAN DIEGO
		STATE:			CA
		ZIP:			92130
		BUSINESS PHONE:		(858)-223-0882

	MAIL ADDRESS:	
		STREET 1:		3525 DEL MAR HEIGHTS RD., #332
		CITY:			SAN DIEGO
		STATE:			CA
		ZIP:			92130
</SEC-HEADER>
<DOCUMENT>
<TYPE>4
<SEQUENCE>1
<FILENAME>dermata_fm4aug172021.xml
<TEXT>
Document 1 - file: dermata_fm4aug172021.html

Document 1 - RAW XML: dermata_fm4aug172021.xml

</DOCUMENT>
</SEC-DOCUMENT>