SEC Form 4 · accession 0001192482-16-000553
COLLEGIUM PHARMACEUTICAL, INC · COLL
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Michael Thomas Heffernan
Officer — Chairman, President and CEO · Director
Period of report
Apr 5, 2016
Accepted (ET)
Apr 7, 2016 · 5:03 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001267565
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Apr 5, 2016 | M | 9,673 | $3.31 | A | 383,117 | D | |
| Common Stock | Apr 5, 2016 | M | 3,931 | $0.48 | A | 387,048 | D | |
| Common StockF1 | holding | — | — | — | 163,043 | I | By: Island View Investors, LLC |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (Right to Purchase)F2 | $3.31 | Apr 5, 2016 | M | 9,673 | D | — | Nov 11, 2020 | Common Stock | 9,673 | 0 | D |
| Stock Option (Right to Purchase)F3 | $0.48 | Apr 5, 2016 | M | 3,931 | D | — | Jan 30, 2023 | Common Stock | 3,931 | 3,013 | D |
Explanation of responses
- F1Shares held by Island View Investors, LLC. Mr. Heffernan is the sole member of Island View Investors, LLC.
- F2All 9,673 options are exercisable.
- F3The options vest and become exercisable in equal installments (rounded up to the nearest whole option) at the end of each month over a 4-year period commencing on January 24, 2013. The option was initially for 14,492 options and the option was previously exercised as to 7,548 options.