X0306 4 2020-12-22 0 0001626199 ALPINE IMMUNE SCIENCES, INC. ALPN 0001242882 GOLD MITCHELL C/O ALPINE IMMUNE SCIENCES, INC. 188 EAST BLAINE STREET, SUITE 200 SEATTLE WA 98102 1 1 1 0 Executive Chairman and CEO Common Stock 2020-12-22 4 J 0 993801 0.00 D 3000980 I By Alpine ImmunoSciences, L.P. Common Stock 2020-12-22 4 J 0 260528 0.00 A 321162 D Alpine ImmunoSciences, L.P. distributed these shares to its limited partners on a pro rata basis for no consideration (the "Distribution"). Alpine BioVentures GP, LLC is the general partner of Alpine ImmunoSciences, L.P. Dr. Gold is a Managing Partner of Alpine BioVentures GP, LLC. Dr. Gold is also a limited partner of Alpine ImmunoSciences, L.P. By virtue of such relationships, Dr. Gold may be deemed to have voting and investment power with respect to the shares held by Alpine ImmunoSciences, L.P. and as a result may be deemed to have beneficial ownership of such shares. The Reporting Person disclaims beneficial ownership of the shares of common stock reported herein except to the extent of his pecuniary interest therein, if any, and this report shall not be deemed an admission that the Reporting Person is the beneficial owner of such shares for purposes of Section 16 of the Securities Exchange Act of 1934, as amended, or for any other purpose. Acquisition by the Reporting Person pursuant to the Distribution. Includes 33,785 RSUs that represent contingent rights to receive 33,785 shares of the Issuer's common stock upon settlement. /s/ James Paul Rickey, attorney-in-fact 2020-12-22