-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, TCockp01tPwyjhEGvHaXSnT7v3b244KOsKudYpwABCetbEcyDnYYLNbrGSSwPOsh AUuj7KLZFUhzDv/uaNtw9Q== 0000950005-98-000092.txt : 19980211 0000950005-98-000092.hdr.sgml : 19980211 ACCESSION NUMBER: 0000950005-98-000092 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19980210 SROS: NASD SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: COLLAGEN CORP /DE CENTRAL INDEX KEY: 0000021686 STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842] IRS NUMBER: 942300486 STATE OF INCORPORATION: DE FISCAL YEAR END: 0630 FILING VALUES: FORM TYPE: SC 13G SEC ACT: SEC FILE NUMBER: 005-35304 FILM NUMBER: 98528605 BUSINESS ADDRESS: STREET 1: 2500 FABER PL CITY: PALO ALTO STATE: CA ZIP: 94303 BUSINESS PHONE: 4158560200 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: DENNIS REID W CENTRAL INDEX KEY: 0000903975 STANDARD INDUSTRIAL CLASSIFICATION: UNKNOWN SIC - 0000 [0000] STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: 3000 SAND HILL RD BLDG 2 SUITE 290 STREET 2: C/O INSTITUTIONAL VENTURE PARTNERS CITY: MANLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 4158540132 MAIL ADDRESS: STREET 1: INSTITUTIONAL VENTURE PARTNERS STREET 2: 3000 SAND HILL RD BLDG 2 STE 290 CITY: MENLO PARK STATE: CA ZIP: 94025 SC 13G 1 SCHEDULE 13G ----------------------------------- OMB APPROVAL ----------------------------------- OMB Number: 3235-0145 Expires: October 31, 1994 Estimated average burden hours per response............14.90 ----------------------------------- UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 SCHEDULE 13G UNDER THE SECURITIES EXCHANGE ACT OF 1934 Collagen Corporation --------------------------------------- (Name of Issuer) Common Stock --------------------------------------- (Title of Class of Securities) 194194-10-6 --------------------------------------- (CUSIP Number) *The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page. The information required in the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes). Note: The stock holdings represented herein reflect ownership as of December 31, 1997. Reid W. Dennis (Reporting Person) S.E.C. Account #0000903975 cc: NASDAQ Operations Department Ms. Maria Goffman Ms. Joan Trampenau, Collagen Corporation SEC 1745 (2/92) Page 1 of 5 Pages ----------------------------------- OMB APPROVAL ----------------------------------- OMB Number: 3235-0145 Expires: October 31, 1994 Estimated average burden hours per response............14.90 ----------------------------------- UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549
- ----------------------------------------------------- ------------------------------------------ CUSIP No. 194194-10-6 13G Page 2 of 5 Pages ---------------------------------------- - ----------------------------------------------------- ------------------------------------------ - ------------- ---------------------------------------------------------------------------------------------------------------------- 1 NAME OF REPORTING PERSON S.S. or I.R.S. IDENTIFICATION NO. OF ABOVE PERSON Reid W. Dennis SSN ####-##-#### - ------------- ---------------------------------------------------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [ ] (b) [ ] - ------------- ---------------------------------------------------------------------------------------------------------------------- 3 SEC USE ONLY - ------------- ---------------------------------------------------------------------------------------------------------------------- 4 CITIZENSHIP OR PLACE OF ORGANIZATION United States - ---------------------------- ------- ----------------------------------------------------------------------------------------------- NUMBER OF SHARES 5 SOLE VOTING POWER BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH 700,043 Shares *Includes Stock Options held by Mr. Dennis for 27,000 shares ------- ----------------------------------------------------------------------------------------------- 6 SHARED VOTING POWER N/A ------- ----------------------------------------------------------------------------------------------- 7 SOLE DISPOSITIVE POWER 700,043 Shares *Includes Stock Options held by Mr. Dennis for 27,000 shares ------- ----------------------------------------------------------------------------------------------- 8 SHARED DISPOSITIVE POWER N/A - ------------- ---------------------------------------------------------------------------------------------------------------------- 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 700,043 Shares *Includes Stock Options held by Mr. Dennis for 27,000 shares - ------------- ---------------------------------------------------------------------------------------------------------------------- 10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* Excludes 1,500 shares held by Mr. Dennis as Trustee for Suzanna Weaver Dennis, [X] in which he disclaims any beneficial ownership - ------------- ---------------------------------------------------------------------------------------------------------------------- 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 7.8% - ------------- ---------------------------------------------------------------------------------------------------------------------- *SEE INSTRUCTION BEFORE FILLING OUT! SEC 1745 (2/92) Page 2 of 5 Pages
- ------------- ---------------------------------------------------------------------------------------------------------------------- 12 TYPE OF REPORTING PERSON* IN - ------------- ---------------------------------------------------------------------------------------------------------------------- *SEE INSTRUCTION BEFORE FILLING OUT! Page 3 of 5 Pages
Item 1. (a) Name of Issuer: Collagen Corporation ("The Issuer") (b) Address of Issuer's Principal Executive Offices: 2500 Faber Place Palo Alto, CA 94303 Item 2. (a) Name of Person[s] Filing: Reid W. Dennis (b) Address of Principal Business Office: 3000 Sand Hill Road, Bldg. 2, Suite #290 Menlo Park, CA 94025 (c) Citizenship[/Place of Organization]: U.S.A. (d) Title of Class of Securities: Common Stock (e) CUSIP Number: 194194-10-6 Item 3. Not applicable. Item 4. Ownership (a) Amount Beneficially Owned: 700,043 Shares (b) Percent of Class: 7.8%
(c) Number of shares as to which such person has: (i) sole power to vote or to direct the vote: 700,043 shares (ii) shared power to vote or to direct the vote: -0- (iii) sole power to dispose or to direct the disposition of: 700,043 shares (iv) shared power to dispose or to direct the disposition of: -0- Item 5. Ownership of Five Percent or Less of a Class [Not applicable] or [If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than five percent of the class of securities, check the following [ ]. N/A Item 6. Ownership of More than Five Percent On Behalf of Another Person Not applicable. [Not applicable] or [Set forth relative information; Example: describe distribution by limited partnerships.] N/A Item 7. Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company Not applicable. Item 8. Identification and Classification of Members of the Group Not applicable. Item 9. Notice of Dissolution of Group Not applicable. Page 4 of 5 Pages Item 10. Certification By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were acquired in he ordinary course of business and were not acquired for the purpose of and do not have the effect of changing or influencing the control of the issuer of such securities and were not acquired in connection with or as a participant in any transaction having such purposes or effect. EXHIBITS: SIGNATURE After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct. ----------------------------------- Date ----------------------------------- Signature ----------------------------------- Name/Title Page 5 of 5 Pages -----END PRIVACY-ENHANCED MESSAGE-----