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Filing Details

Issuer

Cik	Name	Symbol	Sector (SIC)	IRS No
1411906	Ampio Pharmaceuticals Inc.	AMPE	()	4

Insiders

Cik	Name	Reported Address	Insider Title	Director	Officer	Large Shareholder	Other
1109775	H Philip Coelho	C/O Ampio Pharmaceuticals, Inc. 373 Inverness Parkway, Suite 200 Englewood CO 80112		Yes	No	No	No

Reported Non-Derivative Transactions

Sec. Name	Acquisiton - Disposition	Date	Amount	Price	Remaning Holdings	Equity Swap Involved	Form Type	Code	Nature of Ownership	Explanation
Common Stock	Acquisiton	2017-09-27	10,000	$0.63	104,727	No	4	P	Direct

Equity Swap Involved	Form Type	Code	Nature of Ownership	Explanation
No	4	P	Direct

Reported Derivative Transactions

Sec. Name	Sec. Type	Acquisiton - Disposition	Date	Amount	Price	Amount - 2	Price - 2
Common Stock	Stock Option (Right to Buy)	Acquisiton	2017-09-23	30,000	$0.00	30,000	$0.60

Remaning Holdings	Exercise Date	Expiration Date	Equity Swap Involved	Transaction Form Type	Transaction Code	Nature of Ownership
30,000		2027-09-23	No	4	A	Direct

Footnotes

This transaction was executed in multiple trades at prices ranging from $0.6196 to $0.6322. The price reported above reflects the weighted average price. The Reporting Person hereby undertakes to provide upon request to the SEC staff, the Issuer or a security holder of the Issuer full information regarding the number of shares and prices at which the transaction was effected.
The stock option vests and becomes exercisable in 12 equal monthly installments from the date of grant.