UNITED STATES | |||||||
SECURITIES AND EXCHANGE COMMISSION | |||||||
Washington, D.C. 20549 | |||||||
SCHEDULE 13G* | |||||||
(Rule 13d-102) | |||||||
INFORMATION TO BE INCLUDED IN STATEMENTS FILED PURSUANT | |||||||
TO RULES 13d-1(b), (c), AND (d) AND AMENDMENTS THERETO FILED | |||||||
PURSUANT TO RULE 13d-2 | |||||||
(Amendment No. __) | |||||||
Ampio Pharmaceuticals, Inc | ||
(Name of Issuer) | ||
Common Stock, $0.0001 par value per share | ||
(Title of Class of Securities) |
03209T109 | ||
(CUSIP Number) |
1/21/14 | ||
(Date of Event Which Requires Filing of the Statement) |
Check the appropriate box to designate the rule pursuant to which this Schedule is filed:
¨ | Rule 13d-1(b) |
x | Rule 13d-1(c) |
¨ | 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 on 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)
Page 1 of 7 |
Cusip No. 03209T109 | 13G | Page 2 of 7 Pages |
1. |
NAME OF REPORTING PERSONS Knoll Capital Management, LP
|
2. |
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (a) ¨ (b) x
|
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 0 |
6. |
SHARED VOTING POWER
2,550,901 | |
7. |
SOLE DISPOSITIVE POWER 0 | |
8. |
SHARED DISPOSITIVE POWER
2,550,901 |
9. |
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
2,550,901
| |
10. |
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES |
¨
|
11. |
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
6.05%
| |
12. |
TYPE OF REPORTING PERSON PN |
Page 2 of 7 |
Cusip No. 03209T109 | 13G | Page 3 of 7 Pages |
1. |
NAME OF REPORTING PERSONS Fred Knoll
|
2. |
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (a) ¨ (b) x |
3. |
SEC USE ONLY
|
4. |
CITIZENSHIP OR PLACE OF ORGANIZATION
USA |
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH
|
5. |
SOLE VOTING POWER 0 |
6. |
SHARED VOTING POWER
2,550,901 | |
7. |
SOLE DISPOSITIVE POWER 0 | |
8. |
SHARED DISPOSITIVE POWER
2,550,901 |
9. |
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
2,550,901
|
10. |
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES ¨ |
11. |
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
6.05%
|
12. |
TYPE OF REPORTING PERSON IN |
Page 3 of 7 |
Cusip No. 03209T109 | 13G | Page 4 of 7 Pages |
1. |
NAME OF REPORTING PERSONS Europa International, Inc.
|
2. |
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (a) ¨ (b) x
|
3. |
SEC USE ONLY
|
4. |
CITIZENSHIP OR PLACE OF ORGANIZATION
British Virgin Islands |
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH
|
5. |
SOLE VOTING POWER 0 |
6. |
SHARED VOTING POWER
2,550,901 | |
7. |
SOLE DISPOSITIVE POWER 0 | |
8. |
SHARED DISPOSITIVE POWER
2,550,901 |
9. |
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
2,550,901 |
10. |
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES ¨ |
11. |
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
6.05%
|
12. |
TYPE OF REPORTING PERSON CO
|
Page 4 of 7 |
Cusip No. 03209T109 | 13G | Page 5 of 7 Pages |
Item 1(a). | Name of Issuer: |
Ampio Pharmaceuticals, Inc. (the “Issuer”)
Item 1(b). | Address of Issuer’s Principal Executive Offices: |
5445 DTC Parkway, Suite 925
Greenwood Village, Colorado 80111
Item 2(a). | Name of Persons Filing: |
Knoll Capital Management LP (“KCMLP”)
Fred Knoll (“Knoll”)
Europa International, Inc. (“Europa”)
Item 2(b). | Address of Principal Business Office or, if none, Residence: |
The principle business address for each of KCMLP, Knoll and
Europa is 5 East 44th Street, Suite 12, New York, NY 10017
Item 2(c). | Citizenship: |
KCMLP is a limited partnership formed and existing under the laws of the State of Delaware.
Knoll is a citizen of the United States.
Europa is a company organized under the laws of the British Virgin Islands.
Item 2(d). | Title of Class of Securities: |
This statement on Schedule 13G is being filed with respect to Common Stock, $0.0001 par value per share (the “Common Stock”) of the issuer.
Item 2(e). | CUSIP Number: |
03209T109
Item 3. | If this statement is filed pursuant to Rules 13d-1(b), or 13d-2(b) or (c), check whether the person filing is a: Not applicable |
(a) | ¨ | Broker or dealer registered under Section 15 of the Act (15 U.S.C 78o); |
(b) | ¨ | Bank as defined in Section 3(a)(6) of the Act (15 U.S.C 78c); |
(c) | ¨ | Insurance company as defined in Section 3(a)(19) of the Act (15 U.S.C 78c); |
(d) | ¨ | Investment company registered under Section 8 of the Investment Company Act of 1940 (15 U.S.C. 80a-8); |
(e) | ¨ | An investment adviser in accordance with Rule 13d-1(b)(1)(ii)(E); |
(f) | ¨ | An employee benefit plan or endowment fund in accordance with § 240.13d-1(b)(1)(ii)(F); |
(g) | ¨ | A parent holding company or control person in accordance with § 240.13d-1(b)(1)(ii)(G); |
(h) | ¨ | A savings association as defined in Section 3(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813); |
(i) | ¨ | A church plan that is excluded from the definition of an investment company under Section 3(c)(14) of the Investment Company Act (15 U.S.C. 80a-3); |
(j) | ¨ | A non-U.S. institution in accordance with § 240.13d-1(b)(1)(ii)(J); |
(k) | ¨ | Group, in accordance with § 240.13d-1(b)(1)(ii)(K). |
Page 5 of 7 |
Cusip No. 03209T109 | 13G | Page 6 of 7 Pages |
If filing as a non-U.S. institution in accordance with § 240.13d-1(b)(1)(ii)(J), please specify the type of institution: _________________
Item 4. | Ownership: |
Provide the following information regarding the aggregate number and percentage of class of securities of the issuer identified in Item 1.
(a) | Amount beneficially owned: |
As of this filing:
Europa beneficially owns 2,550,901 Shares of the Issuer’s Common Stock.
Each of KCMLP and Knoll beneficially own 2,550,901 Shares of the Issuer’s Common Stock. KCMLP is the investment manager of Europa, and Knoll is the President of KCMLP.
(b) | Percent of Class: |
The percentage set forth in this Schedule 13G are based upon the total number of shares of the Issuer’s common stock outstanding of 42,134,332 shares based on information provided by the Issuer.
The 2,550,901 shares of the Issuer’s Common Stock beneficially owned by each of Europa, KCMLP and Knoll constitute 6.05% of the Issuer’s Common Stock outstanding.
(c) | Number of shares as to which such person has: |
(i) | sole power to vote or to direct the vote: 0 |
(ii) | shared power to vote or to direct the vote: 2,550,901 |
KCMLP, Knoll and Europa share the power to vote or direct the vote of those shares of Common Stock owned by Europa.
(iii) | sole power to dispose or to direct the disposition of: 0 |
(iv) | shared power to dispose or to direct the disposition of: 2,550,901 |
KCMLP, Knoll and Europa share the power to dispose of or direct the disposition of those shares of Common Stock owned by Europa.
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 5 percent of the class of securities, check the following [ ].
Item 6. | Ownership of More than Five Percent on Behalf of Another Person: |
Not Applicable.
Item 7. | Identification and Classification of the Subsidiary which Acquired the Security Being Reported on by the Parent Holding Company or Control Person: |
Not Applicable.
Page 6 of 7 |
Cusip No. 03209T109 | 13G | Page 7 of 7 Pages |
Item 8. | Identification and Classification of Members of the Group: |
Not Applicable.
Item 9. | Notice of Dissolution of Group: |
Not Applicable
Item 10. | Certifications: |
By Signing below I certify that, to the best of my knowledge and belief, the securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect.
SIGNATURE
After reasonable inquiry and to the best of its knowledge and belief, I certify (the undersigned certifies) that the information set forth in this statement is true, complete and correct.
KNOLL CAPITAL MANAGEMENT, LP | |
By: /s/ Fred Knoll | |
Dated: February 14, 2014 | Name: Fred Knoll |
Title: President | |
/s/ Fred Knoll | |
Dated: February 14, 2014 | Fred Knoll |
EUROPA INTERNATIONAL, INC | |
By: Knoll Capital Management, L.P., | |
Investment Manager | |
By: /s/ Fred Knoll | |
Dated: February 14, 2014 | Name: Fred Knoll |
Title: President |
Page 7 of 7 |