Exhibit 107
Calculation of Filing Fee Tables
Form S-3
(Form Type)
Alpine Immune Sciences, Inc.
(Exact name of registrant as specified in its charter)
Table 1 - Newly Registered and Carry Forward Securities
Security Type | Security Class Title | Fee Calculation or Carry Forward Rule | Amount Registered | Proposed Maximum Offering Price Per Unit(1) | Maximum Aggregate Offering Price(1) | Fee Rate | Amount of Registration Fee | |||||||||||||||||||||||||||||||
Newly Registered Securities | ||||||||||||||||||||||||||||||||||||||
Fees to Be Paid | Equity | Common Stock, par value $0.001 per share | 457(o) | (1) | (1) | (1) | — | — | ||||||||||||||||||||||||||||||
Equity | Preferred Stock | 457(o) | (1) | (1) | (1) | — | — | |||||||||||||||||||||||||||||||
Debt | Debt Securities | 457(o) | (1) | (1) | (1) | — | — | |||||||||||||||||||||||||||||||
Equity | Depositary Shares | 457(o) | (1) | (1) | (1) | — | — | |||||||||||||||||||||||||||||||
Equity | Warrants | 457(o) | (1) | (1) | (1) | — | — | |||||||||||||||||||||||||||||||
Other | Subscription Rights | 457(o) | (1) | (1) | (1) | — | — | |||||||||||||||||||||||||||||||
Other | Purchase Contracts | 457(o) | (1) | (1) | (1) | — | — | |||||||||||||||||||||||||||||||
Other | Units | 457(o) | (1) | (1) | (1) | — | — | |||||||||||||||||||||||||||||||
Unallocated (Universal) Shelf | Unallocated (Universal) Shelf | 457(o) | (1) | (1) | $400,000,000 | $110.20 per $1,000,000 | $44,080.00 | |||||||||||||||||||||||||||||||
Total Offering Amounts | $44,080.00 | |||||||||||||||||||||||||||||||||||||
Total Fees Previously Paid | – | |||||||||||||||||||||||||||||||||||||
Total Fee Offsets | $3,928.33 | |||||||||||||||||||||||||||||||||||||
Net Fee Due | $40,151.67 |
(1)An indeterminate aggregate initial offering price and number of securities of each identified class is being registered as may from time to time be offered, issued or sold at indeterminate prices. In addition, an indeterminate number of securities that may be issued upon exercise, settlement, conversion or exchange of any offered securities, or pursuant to anti-dilution adjustments, is being registered. Separate consideration may or may not be received for securities that are issuable on exercise, conversion or exchange of other securities. |
Table 2 - Fee Offset Claims and Sources
Registrant or Filer Name | Form or Filing Type | File Number | Initial Filing Date | Filing Date | Fee Offset Claimed | Security Type Associated with Fee Offset Claimed | Security Title Associated with Fee Offset Claimed | Unsold Securities Associated with Fee Offset Claimed | Unsold Aggregate Offering Amount Associated with Fee Offset Claimed | Fee Paid with Fee Offset Source | |||||||||||||||||||||||||
Rule 457(p) | |||||||||||||||||||||||||||||||||||
Fee Offset Claims | Alpine Immune Sciences, Inc. | S-3 | 333-256107 | 05/14/2021 | $3,928.33 (2) | Unallocated (Universal) Shelf | Unallocated (Universal) Shelf | –(2) | $36,006,777.30 (2) | ||||||||||||||||||||||||||
Fee Offset Sources | Alpine Immune Sciences, Inc. | S-3 | 333-256107 | 5/14/2021 | $3,928.33 (2) |
(2)The registrant has previously registered the offer and sale of 150,000,000 of securities pursuant to a universal shelf Registration Statement on Form S-3 (File No. 333-256107), filed with the Securities and Exchange Commission (the “SEC”) on May 14, 2021 (the “Prior Registration Statement”). In connection with the filing of the Prior Registration Statement, the registrant made a contemporaneous fee payment in the amount of $16,365.00. Of the $150,000,000 of securities registered under the Prior Registration Statement, $36,006,777.30 of securities remains unsold (the “Unsold Securities”). Pursuant to Rule 457(p) under the Securities Act, the registration fee of $3,928.33 that has already been paid and remains unused with respect to the Unsold Securities is offset against the registration fee of $44,080 due for this offering. The remaining balance of the registration fee, $40,151.67, has been paid in connection with this offering. The offering that includes the Unsold Securities under the Prior Registration Statement is hereby terminated. |