0001615594-23-000031.txt : 20230512
0001615594-23-000031.hdr.sgml : 20230512
20230512172603
ACCESSION NUMBER: 0001615594-23-000031
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230511
FILED AS OF DATE: 20230512
DATE AS OF CHANGE: 20230512
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Stevens David R
CENTRAL INDEX KEY: 0001292382
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35182
FILM NUMBER: 23917167
MAIL ADDRESS:
STREET 1: 300 ELLIOTT AVENUE WEST
STREET 2: SUITE 500
CITY: SEATTLE
STATE: WA
ZIP: 98119-4114
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Ampio Pharmaceuticals, Inc.
CENTRAL INDEX KEY: 0001411906
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 260179592
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 373 INVERNESS PARKWAY
STREET 2: SUITE 200
CITY: ENGLEWOOD
STATE: CO
ZIP: 80112
BUSINESS PHONE: 720-437-6500
MAIL ADDRESS:
STREET 1: 373 INVERNESS PARKWAY
STREET 2: SUITE 200
CITY: ENGLEWOOD
STATE: CO
ZIP: 80112
FORMER COMPANY:
FORMER CONFORMED NAME: Chay Enterprises, Inc.
DATE OF NAME CHANGE: 20070910
4
1
primary_doc.xml
PRIMARY DOCUMENT
X0407
4
2023-05-11
0
0001411906
Ampio Pharmaceuticals, Inc.
AMPE
0001292382
Stevens David R
300 ELLIOTT AVENUE WEST
SUITE 500
SEATTLE
WA
98119-4114
1
0
0
0
0
Common Stock
2023-05-11
4
P
0
25000
0.22
A
33971
D
Common Stock
2023-05-11
4
P
0
25000
0.215
A
58971
D
Common Stock
2023-05-12
4
P
0
45000
0.22
A
103971
D
Suzette McNally, Attorney-in-Fact for David R. Stevens
2023-05-12