Filing Details
- Accession Number:
- 0001209191-15-042578
- Form Type:
- 4
- Zero Holdings:
- No
- Publication Time:
- 2015-05-13 21:41:12
- Reporting Period:
- 2015-05-12
- Filing Date:
- 2015-05-13
- Accepted Time:
- 2015-05-13 21:41:12
- 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 |
---|---|---|---|---|---|---|---|
1277503 | Yasunori Kaneko | 525 University Avenue, Suite 610 Palo Alto CA 94301 | No | No | Yes | No | |
1419187 | Skyline Venture Partners V Lp | 525 University Avenue, Suite 610 Palo Alto CA 94301 | No | No | Yes | No | |
1434887 | Skyline Venture Management V, Llc | 525 University Avenue, Suite 610 Palo Alto CA 94301 | 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 | 1,552,795 | $0.00 | 1,552,795 | No | 4 | C | Indirect | see footnote |
Common Stock | Acquisiton | 2015-05-12 | 382,323 | $0.00 | 1,935,118 | No | 4 | C | Indirect | see footnote |
Common Stock | Acquisiton | 2015-05-12 | 864,798 | $0.00 | 2,799,916 | No | 4 | C | Indirect | see footnote |
Common Stock | Acquisiton | 2015-05-12 | 150,000 | $12.00 | 2,949,916 | No | 4 | P | Indirect | see footnote |
Equity Swap Involved | Form Type | Code | Nature of Ownership | Explanation |
---|---|---|---|---|
No | 4 | C | Indirect | see footnote |
No | 4 | C | Indirect | see footnote |
No | 4 | C | Indirect | see footnote |
No | 4 | P | Indirect | see footnote |
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 | 10,714,286 | $0.00 | 1,552,795 | $0.00 |
Common Stock | Series C Convertible Preferred Stock | Disposition | 2015-05-12 | 2,638,030 | $0.00 | 382,323 | $0.00 |
Common Stock | Series D Convertible Preferred Stock | Disposition | 2015-05-12 | 5,881,724 | $0.00 | 864,798 | $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 |
Footnotes
- 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.
- 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.
- The shares are held by Skyline Venture Partners V, L.P. The general partner of Skyline Venture Partners V, L.P. is Skyline Venture Management V, LLC. John G. Freund and Yasunori Kaneko are managers of Skyline Venture Management V, LLC. These individuals share voting and investment power over the shares held by Skyline Venture Management, LLC and disclaim beneficial ownership of all the shares held by Skyline Venture Partners V, L.P. except to the extent of their proportionate pecuniary interest therein. Dr. Freund is a director of the Issuer and, accordingly, files separate Section 16 reports.