0001104659-16-133833.txt : 20160722 0001104659-16-133833.hdr.sgml : 20160722 20160722120308 ACCESSION NUMBER: 0001104659-16-133833 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20160722 DATE AS OF CHANGE: 20160722 GROUP MEMBERS: AMIR L. ECKER GROUP MEMBERS: CAROL G. FRANKENFIELD SUBJECT COMPANY: 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 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-86512 FILM NUMBER: 161779124 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 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: ACT Capital Management, LLLP CENTRAL INDEX KEY: 0001442273 IRS NUMBER: 141895400 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: 555 E. LANCASTER AVE STREET 2: SUITE 540 CITY: RADNOR STATE: PA ZIP: 19087 BUSINESS PHONE: 484-586-3513 MAIL ADDRESS: STREET 1: 555 E. LANCASTER AVE STREET 2: SUITE 540 CITY: RADNOR STATE: PA ZIP: 19087 SC 13G/A 1 a16-15302_1sc13ga.htm SC 13G/A

 

 

UNITED STATES

 

 

SECURITIES AND EXCHANGE COMMISSION

 

 

Washington, D.C. 20549

 

 

 

 

SCHEDULE 13G

 

Under the Securities Exchange Act of 1934
(Amendment No. 5)*

 

Ampio Pharmaceuticals, Inc.

(Name of Issuer)

Common Stock

(Title of Class of Securities)

03209T109

(CUSIP Number)

June 30, 2016

(Date of Event Which Requires Filing of this Statement)

Check the appropriate box to designate the rule pursuant to which this Schedule is filed:

o

Rule 13d-1(b)

x

Rule 13d-1(c)

o

Rule 13d-1(d)

 

*The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page.

 

The information required in the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).

 



 

CUSIP No. 03209T109

 

 

1.

Names of Reporting Persons
I.R.S. Identification Nos. of above persons (entities only)

ACT Capital Management, LLLP   (I.R.S. Identification No. 14-1895400)

 

 

2.

Check the Appropriate Box if a Member of a Group (See Instructions)

 

 

(a)

o

 

 

(b)

o

 

 

3.

SEC Use Only

 

 

4.

Citizenship or Place of Organization
Delaware

 

 

 

Number of
Shares
Beneficially
Owned by
Each
Reporting
Person With

5.

Sole Voting Power
388,500

 

6.

Shared Voting Power
0 (1)

 

7.

Sole Dispositive Power
388,500 shares

 

8.

Shared Dispositive Power
2,277,500 (1)

 

 

9.

Aggregate Amount Beneficially Owned by Each Reporting Person
2,277,500 (1)

 

 

10.

Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions)  o

 

 

11.

Percent of Class Represented by Amount in Row (9)
4.4% (1)

 

 

12.

Type of Reporting Person (See Instructions)
PN

 


(1) Amir L. Ecker and Carol G. Frankenfield are each a General Partner of ACT Capital Management, LLLP.  See Item 4 of this Schedule.

 

2



 

CUSIP No. 03209T109

 

 

1.

Names of Reporting Persons
Amir L. Ecker

 

 

2.

Check the Appropriate Box if a Member of a Group (See Instructions)

 

 

(a)

o

 

 

(b)

o

 

 

3.

SEC Use Only

 

 

4.

Citizenship or Place of Organization
United States

 

 

 

Number of
Shares
Beneficially
Owned by
Each
Reporting
Person With

5.

Sole Voting Power
1,665,000 (2)

 

6.

Shared Voting Power
515,000 (2)

 

7.

Sole Dispositive Power
0 shares (2)

 

8.

Shared Dispositive Power
2,277,500 (2)

 

 

9.

Aggregate Amount Beneficially Owned by Each Reporting Person
2,277,500 (2)

 

 

10.

Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions)  o

 

 

11.

Percent of Class Represented by Amount in Row (9)
4.4 % (2)

 

 

12.

Type of Reporting Person (See Instructions)
IN

 


(2) Amir L. Ecker is a General Partner of ACT Capital Management, LLLP.  See Item 4 of this Schedule 13G.

 

3



 

CUSIP No. 03209T109

 

 

1.

Names of Reporting Persons
Carol G. Frankenfield

 

 

2.

Check the Appropriate Box if a Member of a Group (See Instructions)

 

 

(a)

o

 

 

(b)

o

 

 

3.

SEC Use Only

 

 

4.

Citizenship or Place of Organization
United States

 

 

 

Number of
Shares
Beneficially
Owned by
Each
Reporting
Person With

5.

Sole Voting Power
7,500 (3)

 

6.

Shared Voting Power
388,500 (3)

 

7.

Sole Dispositive Power
0 shares (3)

 

8.

Shared Dispositive Power
2,277,500 (3)

 

 

9.

Aggregate Amount Beneficially Owned by Each Reporting Person
2,277,500 (3)

 

 

10.

Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions)  o

 

 

11.

Percent of Class Represented by Amount in Row (9)
4.4 % (3)

 

 

12.

Type of Reporting Person (See Instructions)
IN

 


(3) Carol G. Frankenfield is a General Partner of ACT Capital Management, LLLP.  See Item 4 of this Schedule 13G.

 

4



 

Item 1.

 

(a)

Name of Issuer
Ampio Pharmaceuticals, Inc.

 

(b)

Address of Issuer’s Principal Executive Offices
373 Inverness Parkway, Suite 200

Englewood, CO  80112

 

Item 2.

 

(a)

Name of Person Filing
ACT Capital Management, LLLP

Amir L. Ecker

Carol G. Frankenfield

 

(b)

Address of Principal Business Office or, if none, Residence
100 W. Lancaster Ave., Suite 110

Wayne, PA  19087

 

(c)

Citizenship
ACT Capital Management, LLLP — Delaware USA

Amir L. Ecker and Carol G. Frankenfield are U.S. Citizens

 

(d)

Title of Class of Securities
Common Stock

 

(e)

CUSIP Number
03209T109

 

Item 3.

If this statement is filed pursuant to §§240.13d-1(b) or 240.13d-2(b) or (c), check whether the person filing is a:

 

(a)

o

Broker or dealer registered under section 15 of the Act (15 U.S.C. 78o);

 

(b)

o

Bank as defined in section 3(a)(6) of the Act (15 U.S.C. 78c);

 

(c)

o

Insurance company as defined in section 3(a)(19) of the Act (15 U.S.C. 78c);

 

(d)

o

Investment company registered under section 8 of the Investment Company Act of 1940 (15 U.S.C. 80a-8);

 

(e)

o

An investment adviser in accordance with §240.13d-1(b)(1)(ii)(E);

 

(f)

o

An employee benefit plan or endowment fund in accordance with §240.13d-1(b)(1)(ii)(F);

 

(g)

o

A parent holding company or control person in accordance with §240.13d-1(b)(1)(ii)(G);

 

(h)

o

A savings association as defined in Section 3(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813);

 

(i)

o

A church plan that is excluded from the definition of an investment company under section 3(c)(14) of the Investment Company Act of 1940 (15 U.S.C. 80a-3);

 

(j)

o

A non-U.S. institution in accordance with § 240.13d–1(b)(1)(ii)(J);

 

(k)

o

Group, in accordance with § 240.13d–1(b)(1)(ii)(K). If filing as a non-U.S. institution in accordance with

§ 240.13d–1(b)(1)(ii)(J), please specify the type of institution:____________________________

 

5



 

Item 4.

Ownership

ACT Capital Management, LLLP is the beneficial owner of 2,277,500 shares of common stock of the Issuer  and 500 immediately exercisable put options, or approximately 4.4% of the total number of shares of common stock of the Issuer outstanding.  Amir L. Ecker and Carol G. Frankenfield are the General Partners of ACT Capital Management, LLLP.  Investment decisions made on behalf of ACT Capital Management, LLLP are made primarily by its General Partners.

 

(a)

Amount beneficially owned:   

(1)      2,277,500

(2)      2,277,500 ( Mr. Ecker may be deemed a beneficial owner of the shares held by ACT Capital Management, LLLP solely because he is a General Partner of that partnership.)

(3)      2,277,500 (Ms. Frankenfield may be deemed a beneficial owner of the shares held by ACT Capital Management, LLLP solely because she is a General Partner of that partnership.)

 

(b)

Percent of class:   

(1)     4.4%

(2)     4.4%

(3)     4.4%

 

(c)

Number of shares as to which the person has:

 

 

 

(i)

Sole power to vote or to direct the vote   

(1)     388,500

(2)     1,665,000

(3)     7,500

 

 

(ii)

Shared power to vote or to direct the vote    

(1)     0

(2)     515,500

(3)     388,500

 

 

(iii)

Sole power to dispose or to direct the disposition of   

(1)     388,500

(2)     0

(3)     0

 

 

(iv)

Shared power to dispose or to direct the disposition of   

(1)     2,277,500

(2)     2,277,500

(3)     2,277,500

The percentages set forth in this Schedule 13G are based upon the total number of shares of the Issuer’s common stock outstanding of  52,016,432 shares based on information provided by the Issuer.

 

Item 5.

Ownership of Five Percent or Less of a Class

If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than five percent of the class of securities, check the following   x.

 

Item 6.

Ownership of More than Five Percent on Behalf of Another Person

 

 

Item 7.

Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company or Control Person

 

 

Item 8.

Identification and Classification of Members of the Group

 

 

Item 9.

Notice of Dissolution of Group

 

6



 

Item 10.

Certification

 

 

Signature

 

After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.

 

 

DATE: July 15, 2016

By:

/s/ Amir L. Ecker

 

Amir L. Ecker

DATE: July 15, 2016

By:

/s/ Carol G. Frankenfield

 

Carol G. Frankenfield

 

 

 

 

 

ACT CAPITAL MANAGEMENT, LLLP, by its

 

General Partner, Amir L. Ecker

 

 

DATE: July 15, 2016

By:

/s/ Amir L. Ecker

 

General Partner

 

 

ATTENTION

 

Intentional misstatements or omissions of fact constitute Federal Criminal Violations (See 18 U.S.C. 1001).

 

7



 

JOINT FILING AGREEMENT

 

The undersigned, the Reporting Persons named in Schedule 13G, hereby agree that this Schedule 13G Amendment No. 1 is filed on behalf of them and that each Reporting Person is responsible for the timely filing of any other amendments to the Schedule 13G.  Each Reporting Person further agrees that each of them is responsible for the completeness and accuracy of the information concerning such Reporting Person, respectively, contained in this Schedule 13G and that each of them is not responsible for the completeness or accuracy of the information concerning the other Reporting Persons.

 

IN WITNESS WHEREOF, the undersigned have executed this Joint Filing Agreement as of July 15, 2016.

 

 

DATE: July 15, 2016

By:

/s/ Amir L. Ecker

 

Amir L. Ecker

DATE: July 15, 2016

By:

/s/ Carol G. Frankenfield

 

Carol G. Frankenfield

 

 

 

 

 

ACT CAPITAL MANAGEMENT, LLLP, by its

 

General Partner, Amir L. Ecker

 

 

DATE: July 15, 2016

By:

/s/ Amir L. Ecker

 

General Partner

 

8