Filing Details
- Accession Number:
- 0001415889-21-002207
- Form Type:
- 4
- Zero Holdings:
- No
- Publication Time:
- 2021-04-29 21:36:24
- Reporting Period:
- 2021-04-27
- Accepted Time:
- 2021-04-29 21:36:24
- SEC Url:
- Form 4 Filing
Issuer
Cik | Name | Symbol | Sector (SIC) | IRS No |
---|---|---|---|---|
1411906 | Ampio Pharmaceuticals Inc. | AMPE | Pharmaceutical Preparations (2834) | 260179592 |
Insiders
Cik | Name | Reported Address | Insider Title | Director | Officer | Large Shareholder | Other |
---|---|---|---|---|---|---|---|
1717673 | Holli Cherevka | C/O Ampio Pharmaceuticals, Inc. 373 Inverness Parkway, Suite 200 Englewood CO 80112 | Chief Operating Officer | No | 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 | 2021-04-27 | 30,000 | $0.51 | 30,000 | No | 4 | M | Direct | |
Common Stock | Acquisiton | 2021-04-27 | 44,631 | $0.51 | 74,631 | No | 4 | M | Direct | |
Common Stock | Disposition | 2021-04-27 | 74,631 | $2.00 | 0 | No | 4 | S | Direct |
Equity Swap Involved | Form Type | Code | Nature of Ownership | Explanation |
---|---|---|---|---|
No | 4 | M | Direct | |
No | 4 | M | Direct | |
No | 4 | S | Direct |
Reported Derivative Transactions
Sec. Name | Sec. Type | Acquisiton - Disposition | Date | Amount | Price | Amount - 2 | Price - 2 |
---|---|---|---|---|---|---|---|
Common Stock | Stock Option (Right to Buy) | Disposition | 2021-04-27 | 30,000 | $0.51 | 30,000 | $0.51 |
Common Stock | Stock Option (Right to Buy) | Disposition | 2021-04-27 | 44,631 | $0.51 | 44,631 | $0.51 |
Remaning Holdings | Exercise Date | Expiration Date | Equity Swap Involved | Transaction Form Type | Transaction Code | Nature of Ownership |
---|---|---|---|---|---|---|
0 | 2027-08-08 | No | 4 | M | Direct | |
155,369 | 2029-09-16 | No | 4 | M | Direct |
Footnotes
- The option exercise reported on this Form 4 was effected pursuant to a Rule 10b5-1 Trading Plan adopted by the reporting person on March 12, 2021.
- The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $2.00 to $2.005, inclusive. The reporting person undertakes to provide to Ampio Pharmaceuticals, Inc., any security holder of Ampio Pharmaceuticals, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the ranges set forth in footnote (2) to this Form 4.
- Options were granted and previously reported on a Form 4 filed on September 21, 2017, where all of the options reported vested and became exercisable immediately.
- Options were granted and previously reported on a Form 4 filed on September 18, 2019, where 50% of the options awarded vested and became exercisable on the grant date of September 16, 2019 and the other 50% of the options awarded vested and became exercisable on the first anniversary of the grant date.