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Ownership Document
|
| Schema Version: X0306 |
| Document Type: 4 |
| Period of Report: 1/17/20 |
| Not Subject to Section 16: 0 |
| Issuer: |
| Issuer CIK: 1651944 |
| Issuer Name: DermTech, Inc. |
| Issuer Trading Symbol: DMTK |
| Reporting Owner: |
| Reporting Owner ID: |
| | Owner CIK: 1701970 |
| | Owner Name: Sun Kevin M |
| Reporting Owner Address: |
| | Owner Street 1: C/O DERMTECH, INC. |
| | Owner Street 2: 11099 N. TORREY PINES RD. SUITE 100 |
| | Owner City: LA JOLLA |
| | Owner State: CA |
| | Owner ZIP Code: 92037 |
| | Owner State Description: |
| Reporting Owner Relationship: |
| | Is Director? No |
| | Is Officer? Yes |
| | Is Ten Percent Owner? No |
| | Is Other? No |
| | Officer Title: Chief Financial Officer |
| Non-Derivative Table: |
| Non-Derivative Transaction: |
| | Security Title: |
| | | Value: Common Stock |
| | Transaction Date: |
| | | Value: 1/17/20 |
| | Deemed Execution Date: |
| | Transaction Coding: |
| | | Transaction Form Type: 4 |
| | | Transaction Code: A |
| | | Equity Swap Involved? No |
| | Transaction Timeliness: |
| | | Value: |
| | Transaction Amounts: |
| | | Transaction Shares: |
| Value: 132,032 |
| Footnote ID: F1 |
| | | Transaction Price Per Share: |
| Value: 0.00 |
| | | Transaction Acquired-Disposed Code: |
| Value: A |
| | Post-Transaction Amounts: |
| | | Shares Owned Following Transaction: |
| Value: 132,032 |
| | Ownership Nature: |
| | | Direct or Indirect Ownership: |
| Value: D |
| Footnotes: |
| Footnote - F1: The securities awarded are in the form of restricted stock units issued pursuant to the issuer's Amended and Restated 2010 Stock Plan. Each restricted stock unit represents a contingent right to receive one share of issuer common stock. Subject to the reporting person's continued service, twelve forty-eighths (12/48) of the restricted stock units shall vest on September 7, 2020 and (ii) the remaining thirty-six forty-eighths (36/48) shall vest in twelve (12) equal installments of three forty-eighths (3/48) on the seventh day of each third month following September 7, 2020 until the final vesting date on September 7, 2023. |
| Remarks: |
| Owner Signature: |
| Signature Name: /s/ Jason S. Miller, attorney-in-fact |
| Signature Date: 1/22/20 |
