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COLLEGIUM PHARMACEUTICAL, INC — Director's Dealing 2015
May 14, 2015
32163_dirs_2015-05-13_d1558d1d-68be-4d4b-a31c-bf05cbe30a1a.zip
Director's Dealing
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SEC Form 4 — Statement of Changes in Beneficial Ownership
Issuer: COLLEGIUM PHARMACEUTICAL, INC (COLL)
CIK: 0001267565
Period of Report: 2015-05-12
Reporting Person: Skyline Venture Partners V LP (10% Owner)
Reporting Person: Skyline Venture Management V, LLC (10% Owner)
Reporting Person: KANEKO YASUNORI (10% Owner)
Non-Derivative Transactions
| Date | Security | Code | Shares | Price | A/D | Holdings After | Ownership |
|---|---|---|---|---|---|---|---|
| 2015-05-12 | Common Stock | C | 1552795 | — | Acquired | 1552795 | Indirect |
| 2015-05-12 | Common Stock | C | 382323 | — | Acquired | 1935118 | Indirect |
| 2015-05-12 | Common Stock | C | 864798 | — | Acquired | 2799916 | Indirect |
| 2015-05-12 | Common Stock | P | 150000 | $12.00 | Acquired | 2949916 | Indirect |
Derivative Transactions
| Date | Security | Exercise Price | Code | Shares | A/D | Expiration | Underlying | Ownership |
|---|---|---|---|---|---|---|---|---|
| 2015-05-12 | Series B Convertible Preferred Stock | $ | C | 10714286 | Disposed | Common Stock (1552795) | Indirect | |
| 2015-05-12 | Series C Convertible Preferred Stock | $ | C | 2638030 | Disposed | Common Stock (382323) | Indirect | |
| 2015-05-12 | Series D Convertible Preferred Stock | $ | C | 5881724 | Disposed | Common Stock (864798) | Indirect |
Footnotes
F1: 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.
F2: 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.
F3: 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.