Filing Details

Accession Number:
0001209191-15-042801
Form Type:
4
Zero Holdings:
No
Publication Time:
2015-05-14 16:25:51
Reporting Period:
2015-05-12
Filing Date:
2015-05-14
Accepted Time:
2015-05-14 16:25:51
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
1253886 G Patrick Enright 800 El Camino Real Suite 220
Menlo Park CA 94024
No No Yes No
1419701 L.p. Partners Venture Longitude 800 El Camino Real Suite 220
Menlo Park CA 94024
No No Yes No
1430719 Longitude Capital Associates, L.p. 800 El Camino Real Suite 220
Menlo Park CA 94024
No No Yes No
1430720 Longitude Capital Partners, Llc 800 El Camino Real Suite 220
Menlo Park CA 94024
No No Yes No
1431159 Juliet Bakker Tammenoms 800 El Camino Real Suite 220
Menlo Park CA 94024
No 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 3,060,502 $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 61,340 $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 P Indirect By Longitude Venture Partners, 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 Preferred Stock Disposition 2015-05-12 12,837,935 $0.00 1,860,570 $0.00
Common Stock Series B Convertible Preferred Stock Disposition 2015-05-12 257,303 $0.00 37,290 $0.00
Common Stock Series C Convertible Preferred Stock Disposition 2015-05-12 3,160,905 $0.00 458,102 $0.00
Common Stock Series C Convertible Preferred Stock Disposition 2015-05-12 63,356 $0.00 9,182 $0.00
Common Stock Series D Convertible Preferred Stock Disposition 2015-05-12 5,045,381 $0.00 741,830 $0.00
Common Stock Series D Convertible Preferred 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, and includes 10,616 shares issued on May 12, 2015 to LVP, and 212 shares issued on May 12, 2015 to LCA, upon conversion of the Series D Convertible Preferred Stock in payment of accrued dividends thereon.
  3. This report is filed jointly by Longitude Capital Partners, LLC ("LCP"), Longitude Venture Partners, L.P. ("LVP"), Longitude Capital Associates, L.P. ("LCA"), Patrick G. Enright ("Enright") and Juliet Tammenoms Bakker ("Bakker"), all of whom share beneficial ownership of more than 10% of the capital stock of the Issuer. LCP, as general partner of each of LVP and LCA, has the power to vote and dispose of securities held by each of them and may be deemed to have beneficial ownership of the shares owned by LVP and LCA. Enright and Bakker are each managing members of LCP and in their capacity as such, may be deemed to exercise shared voting and investment power over the shares held by the reporting persons. Each of LCP, Enright and Bakker disclaims beneficial ownership of the securities of the Issuer held by LVP and LCA except to the extent of their respective pecuniary interest therein.