0001209191-15-042801.txt : 20150514
0001209191-15-042801.hdr.sgml : 20150514
20150514162551
ACCESSION NUMBER: 0001209191-15-042801
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150512
FILED AS OF DATE: 20150514
DATE AS OF CHANGE: 20150514
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: COLLEGIUM PHARMACEUTICAL, INC
CENTRAL INDEX KEY: 0001267565
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 000000000
STATE OF INCORPORATION: VA
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 780 DEDHAM STREET, SUITE 800
CITY: CANTON
STATE: MA
ZIP: 02021
BUSINESS PHONE: 781-713-3699
MAIL ADDRESS:
STREET 1: 780 DEDHAM STREET, SUITE 800
CITY: CANTON
STATE: MA
ZIP: 02021
FORMER COMPANY:
FORMER CONFORMED NAME: COLLEGIUM PHARMACEUTICAL INC
DATE OF NAME CHANGE: 20031020
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: ENRIGHT PATRICK G
CENTRAL INDEX KEY: 0001253886
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37372
FILM NUMBER: 15863202
MAIL ADDRESS:
STREET 1: CO LONGITUDE CAPITAL PARTNERS LLC
STREET 2: 800 EL CAMINO REAL, SUITE 220
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Tammenoms Bakker Juliet
CENTRAL INDEX KEY: 0001431159
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37372
FILM NUMBER: 15863203
MAIL ADDRESS:
STREET 1: LONGITUDE CAPITAL MANAGEMENT CO., LLC
STREET 2: 800 EL CAMINO REAL, SUITE 220
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Longitude Venture Partners L.P.
CENTRAL INDEX KEY: 0001419701
STATE OF INCORPORATION: DE
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37372
FILM NUMBER: 15863204
BUSINESS ADDRESS:
STREET 1: 800 EL CAMINO REAL
STREET 2: SUITE 220
CITY: Menlo Park
STATE: ca
ZIP: 94025
BUSINESS PHONE: 650-854-5700
MAIL ADDRESS:
STREET 1: 800 EL CAMINO REAL
STREET 2: SUITE 220
CITY: Menlo Park
STATE: ca
ZIP: 94025
FORMER NAME:
FORMER CONFORMED NAME: Longitude Venture Partners LP
DATE OF NAME CHANGE: 20071128
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Longitude Capital Associates, L.P.
CENTRAL INDEX KEY: 0001430719
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37372
FILM NUMBER: 15863205
BUSINESS ADDRESS:
STREET 1: 800 EL CAMINO REAL
STREET 2: SUITE 220
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: 650-854-5700
MAIL ADDRESS:
STREET 1: 800 EL CAMINO REAL
STREET 2: SUITE 220
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Longitude Capital Partners, LLC
CENTRAL INDEX KEY: 0001430720
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37372
FILM NUMBER: 15863206
BUSINESS ADDRESS:
STREET 1: 800 EL CAMINO REAL
STREET 2: SUITE 220
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: 650-854-5700
MAIL ADDRESS:
STREET 1: 800 EL CAMINO REAL
STREET 2: SUITE 220
CITY: MENLO PARK
STATE: CA
ZIP: 94025
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2015-05-12
0
0001267565
COLLEGIUM PHARMACEUTICAL, INC
COLL
0001430720
Longitude Capital Partners, LLC
800 EL CAMINO REAL SUITE 220
MENLO PARK
CA
94024
0
0
1
0
0001430719
Longitude Capital Associates, L.P.
800 EL CAMINO REAL SUITE 220
MENLO PARK
CA
94024
0
0
1
0
0001419701
Longitude Venture Partners L.P.
800 EL CAMINO REAL SUITE 220
MENLO PARK
CA
94024
0
0
1
0
0001431159
Tammenoms Bakker Juliet
800 EL CAMINO REAL SUITE 220
MENLO PARK
CA
94024
0
0
1
0
0001253886
ENRIGHT PATRICK G
800 EL CAMINO REAL SUITE 220
MENLO PARK
CA
94024
0
0
1
0
Common Stock
2015-05-12
4
C
0
3060502
A
3060502
I
By Longitude Venture Partners, L.P.
Common Stock
2015-05-12
4
P
0
196070
12.00
A
3256572
I
By Longitude Venture Partners, L.P.
Common Stock
2015-05-12
4
C
0
61340
A
61340
I
By Longitude Capital Associates, L.P.
Common Stock
2015-05-12
4
P
0
3930
12.00
A
65270
I
By Longitude Capital Associates, L.P.
Series B Convertible Preferred Stock
2015-05-12
4
C
0
12837935
0.00
D
Common Stock
1860570
0
I
By Longitude Venture Partners, L.P.
Series B Convertible Preferred Stock
2015-05-12
4
C
0
257303
0.00
D
Common Stock
37290
0
I
By Longitude Capital Associates, L.P.
Series C Convertible Preferred Stock
2015-05-12
4
C
0
3160905
0.00
D
Common Stock
458102
0
I
By Longitude Venture Partners, L.P.
Series C Convertible Preferred Stock
2015-05-12
4
C
0
63356
0.00
D
Common Stock
9182
0
I
By Longitude Capital Associates, L.P.
Series D Convertible Preferred Stock
2015-05-12
4
C
0
5045381
0.00
D
Common Stock
741830
0
I
By Longitude Venture Partners, L.P.
Series D Convertible Preferred Stock
2015-05-12
4
C
0
101128
0.00
D
Common Stock
14868
0
I
By Longitude Capital Associates, L.P.
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, 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.
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.
/s/ Longitude Capital Partners, LLC by Patrick G. Enright Managing Member
2015-05-14
/s/ Longitude Capital Associates, L.P. by Longitude Capital Partners, LLC, General Partner, by Patrick G. Enright, Managing Member
2015-05-14
/s/ Longitude Venture Partners, L.P. by Longitude Capital Partners, LLC, General Partner, by Patrick G. Enright, Managing Member
2015-05-14
/s/ Juliet Tammenoms Bakker, Managing Member
2015-05-14
/s/ Patrick G. Enright, Managing Member
2015-05-14