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