Filing Details

Accession Number:
0001192482-15-000200
Form Type:
4
Zero Holdings:
No
Publication Time:
2015-05-13 16:37:03
Reporting Period:
2015-05-12
Filing Date:
2015-05-13
Accepted Time:
2015-05-13 16:37:03
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1267565 Collegium Pharmaceutical Inc COLL Pharmaceutical Preparations (2834) 000000000
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1619884 David Hirsch C/O Longitude Capital Partners, Llc
800 El Camino Real, Suite 220
Menlo Park CA 94024
Yes No Yes No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock Acquisiton 2015-05-12 1,860,570 $0.00 1,860,750 No 4 C Indirect By Longitude Venture Partners, L.P.
Common Stock Acquisiton 2015-05-12 458,102 $0.00 2,318,672 No 4 C Indirect By Longitude Venture Partners, L.P.
Common Stock Acquisiton 2015-05-12 741,830 $0.00 3,060,502 No 4 C Indirect By Longitude Venture Partners, L.P.
Common Stock Acquisiton 2015-05-12 196,070 $12.00 3,256,572 No 4 P Indirect By Longitude Venture Partners, L.P.
Common Stock Acquisiton 2015-05-12 37,290 $0.00 37,290 No 4 C Indirect By Longitude Capital Associates, L.P.
Common Stock Acquisiton 2015-05-12 9,182 $0.00 46,472 No 4 C Indirect By Longitude Capital Associates, L.P.
Common Stock Acquisiton 2015-05-12 14,868 $0.00 61,340 No 4 C Indirect By Longitude Capital Associates, L.P.
Common Stock Acquisiton 2015-05-12 3,930 $12.00 65,270 No 4 P Indirect By Longitude Capital Associates, L.P.
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 C Indirect By Longitude Venture Partners, L.P.
No 4 C Indirect By Longitude Venture Partners, L.P.
No 4 C Indirect By Longitude Venture Partners, L.P.
No 4 P Indirect By Longitude Venture Partners, L.P.
No 4 C Indirect By Longitude Capital Associates, L.P.
No 4 C Indirect By Longitude Capital Associates, L.P.
No 4 C Indirect By Longitude Capital Associates, L.P.
No 4 P Indirect By Longitude Capital Associates, L.P.
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Series B Convertible Stock Disposition 2015-05-12 12,837,935 $0.00 1,860,570 $0.00
Common Stock Series B Convertible Stock Disposition 2015-05-12 257,303 $0.00 37,290 $0.00
Common Stock Series C Convertible Stock Disposition 2015-05-12 3,160,905 $0.00 458,102 $0.00
Common Stock Series C Convertible Stock Disposition 2015-05-12 63,356 $0.00 9,182 $0.00
Common Stock Series D Convertible Stock Disposition 2015-05-12 5,045,381 $0.00 741,830 $0.00
Common Stock Series D Convertible Stock Disposition 2015-05-12 101,128 $0.00 14,868 $0.00
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
0 No 4 C Indirect
0 No 4 C Indirect
0 No 4 C Indirect
0 No 4 C Indirect
0 No 4 C Indirect
0 No 4 C Indirect
Footnotes
  1. All series of Convertible Preferred Stock automatically converted into Collegium Pharmaceutical, Inc. common stock on a 1-for-6.9 basis immediately prior to the closing of the initial public offering and had no expiration date.
  2. Reflects the conversion of preferred stock into Collegium Pharmaceutical, Inc. common stock on a 1-for-6.9 basis which became effective on May 12, 2015.
  3. The shares are held by Longitude Venture Partners, L.P. and Longitude Capital Associates, L.P. (collectively, the "Longitude Funds"). Longitude Capital Partners, LLC is the general partner of the Longitude Funds. Patrick G. Enright and Juliet Tammenoms Bakker are managing members of Longitude Capital Partners, LLC and in their capacity as such, may be deemed to exercise shared voting and investment power over the shares held by the reporting persons. David Hirsch is a member of Longitude Capital Partners, LLC. Dr. Hirsch disclaims beneficial ownership of such shares except to the extent of his pecuniary interest therein.