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Home > Insider Trading > Filing (0001181431-11-057476)

Filing Details

Accession Number:: 0001181431-11-057476
Form Type:: 4
Zero Holdings:: No
Publication Time:: 2011-11-22 19:40:42
Reporting Period:: 2011-11-22

Filing Date:: 2011-11-22
Accepted Time:: 2011-11-22 19:40:42
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
1109775	H Philip Coelho	C/O Ampio Pharmaceuticals, Inc. 5445 Dtc Parkway, Suite 925 Greenwood Village CO 80111		Yes	No	No	No

Reported Non-Derivative Transactions

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Sec. Name	Acquisiton - Disposition	Date	Amount	Price	Remaning Holdings	Equity Swap Involved	Form Type	Code	Nature of Ownership	Explanation
Common Stock	Acquisiton	2011-11-22	34,446	$1.03	38,991	No	4	M	Direct
Common Stock	Disposition	2011-11-22	4,446	$7.98	34,545	No	4	S	Direct

Equity Swap Involved	Form Type	Code	Nature of Ownership	Explanation
No	4	M	Direct
No	4	S	Direct

Reported Derivative Transactions

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Sec. Name	Sec. Type	Acquisiton - Disposition	Date	Amount	Price	Amount - 2	Price - 2
Common Stock	Stock Option (right to buy)	Disposition	2011-11-22	34,446	$0.00	34,446	$1.03

Remaning Holdings	Exercise Date	Expiration Date	Equity Swap Involved	Transaction Form Type	Transaction Code	Nature of Ownership
160,554	2010-08-12	2020-08-21	No	4	M	Direct

Footnotes

On November 22, 2011, the reporting person exercised an option to purchase 34,446 shares of common stock of the Issuer for $1.03 per share. The reporting person paid the exercise price on a cashless basis, resulting the Issuer's withholding of 4,446 shares of common stock to pay the exercise price and issuing to the reporting person the remaining 30,000 shares of common stock.