Submit a Claim

THIS ONLINE PROOF OF CLAIM AND RELEASE (“WEB CLAIM”) APPLIES TO PERSONS WHO PURCHASED OR OTHERWISE ACQUIRED AMPIO’S COMMON STOCK BETWEEN DECEMBER 29, 2020, AND AUGUST 2, 2022, INCLUSIVE, AND WHO SUFFERED DAMAGES THEREBY.

To recover as a member of the Settlement Class based on your claims in the action entitled Tao Wang and Synworld Technologies Corp. v. Ampio Pharmaceuticals, Inc., et al., Case No. 1:22-cv-02105-WJM-MEH (D. Colo.) (the “Action”), you must complete and, where indicated, sign this Web Claim. If you fail to submit a timely and properly addressed Web Claim along with the requested supporting documentation, your claims may be rejected and you may not receive any recovery from the Settlement Fund created in connection with the proposed Settlement of the Action.

Submission of this Web Claim, however, does not assure that you will share in proceeds of the Settlement of the Action.

Click here to download the pre-formatted template to list all purchase and sale transactions in Ampio Common Stock that took place between December 29, 2020 and October 31, 2022, inclusive.

YOU MUST SUBMIT YOUR COMPLETED AND SIGNED WEB CLAIM AND THE SUPPORTING DOCUMENTS REQUESTED HEREIN NO LATER THAN JANUARY 13, 2025 TO THE CLAIMS ADMINISTRATOR, BY CLICKING THE “START YOUR CLAIM” BUTTON BELOW. YOU CAN ALSO DOWNLOAD, COMPLETE AND SUBMIT A CLAIM FORM FROM THIS WEBSITE AND RETURN IT VIA EMAIL OR MAIL AS DISCUSSED IN FAQ 9.

If you are NOT a member of the Settlement Class (as defined in the Notice), DO NOT submit a Claim Form. Also, NOTE THAT CLAIMS CALCULATING TO AN AWARD AMOUNT OF LESS THAN $10.00 WILL NOT BE PAID.

If you are a member of the Settlement Class and you did not timely request exclusion from the Settlement Class, you will be bound by the terms of any judgment entered in the Action, including the releases provided herein, WHETHER OR NOT YOU SUBMIT A CLAIM FORM.

You are a Settlement Class Member if you purchased or otherwise acquired Ampio common stock between December 29, 2020, and August 2, 2022, inclusive, and suffered damages thereby. Excluded from the Settlement Class are (i) Defendants;(ii) members of the Immediate Family of each of the Individual Defendants; (iii) all subsidiaries and affiliates of Ampio and the current and former directors and officers of Ampio and its subsidiaries or affiliates; (iv) any firm, trust, partnership, corporation, or entity in which any Defendant has a controlling interest; (v) the legal representatives, agents, affiliates, heirs, successors-in-interest or assigns of all such excluded parties; and (vi) any persons or entities who properly exclude themselves by filing a valid and timely request for exclusion.

Click the button below to Start Your Claim to identify yourself and each owner of record (“nominee”) if different from the beneficial owner of the Ampio stock that forms the basis of this claim. THIS CLAIM MUST BE FILED BY THE ACTUAL BENEFICIAL PURCHASER(S) OR ACQUIRER(S), OR THE LEGAL REPRESENTATIVE OF SUCH PURCHASER(S) OR ACQUIRER(S) OF THE AMPIO COMMON STOCK UPON WHICH THIS CLAIM IS BASED.