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Collegium Pharmaceutical, Inc.

Company Details

Name: Collegium Pharmaceutical, Inc.
Jurisdiction: Rhode Island
Entity type: Foreign Corporation
Status: Revoked Entity
Date of Organization in Rhode Island: 17 Sep 2003 (21 years ago)
Date of Dissolution: 06 Nov 2014 (10 years ago)
Date of Status Change: 06 Nov 2014 (10 years ago)
Identification Number: 000134816
Place of Formation: DELAWARE
Principal Address: 780 DEDHAM STREET SUITE 800, CANTON, MA, 02021, USA
Purpose: THE DEVELOPMENT AND COMMERCIALIZATION OF PROPRIETARY, LATE STAGE PHARMACEUTICAL PRODUCTS
Historical names: Collegium Pharmaceuticals, Inc.

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COLLEGIUM PHARMACEUTICAL RETIREMENT PLAN 2011 030416362 2012-07-05 COLLEGIUM PHARMACEUTICAL, INC 74
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 541700
Sponsor’s telephone number 4017622000
Plan sponsor’s address 400 HIGHLAND CORPORATE DRIVE, CUMBERLAND, RI, 02864

Plan administrator’s name and address
Administrator’s EIN 030416362
Plan administrator’s name COLLEGIUM PHARMACEUTICAL, INC
Plan administrator’s address 400 HIGHLAND CORPORATE DRIVE, CUMBERLAND, RI, 02864
Administrator’s telephone number 4017622000

Signature of
Role Plan administrator
Date 2012-07-05
Name of individual signing KAREN POTTER
Valid signature Filed with authorized/valid electronic signature
COLLEGIUM PHARMACEUTICAL RETIREMENT PLAN 2010 030416362 2011-10-05 COLLEGIUM PHARMACEUTICAL, INC 62
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 541700
Sponsor’s telephone number 4017622000
Plan sponsor’s address 400 HIGHLAND CORPORATE DRIVE, CUMBERLAND, RI, 02864

Plan administrator’s name and address
Administrator’s EIN 030416362
Plan administrator’s name COLLEGIUM PHARMACEUTICAL, INC
Plan administrator’s address 400 HIGHLAND CORPORATE DRIVE, CUMBERLAND, RI, 02864
Administrator’s telephone number 4017622000

Signature of
Role Plan administrator
Date 2011-10-05
Name of individual signing STEVEN TANNENBAUM
Valid signature Filed with authorized/valid electronic signature
COLLEGIUM PHARMACEUTICAL RETIREMENT PLAN 2010 030416362 2011-10-05 COLLEGIUM PHARMACEUTICAL, INC 62
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 541700
Sponsor’s telephone number 4017622000
Plan sponsor’s address 400 HIGHLAND CORPORATE DRIVE, CUMBERLAND, RI, 02864

Plan administrator’s name and address
Administrator’s EIN 030416362
Plan administrator’s name COLLEGIUM PHARMACEUTICAL, INC
Plan administrator’s address 400 HIGHLAND CORPORATE DRIVE, CUMBERLAND, RI, 02864
Administrator’s telephone number 4017622000
COLLEGIUM PHARMACEUTICAL RETIREMENT PLAN 2009 030416362 2010-10-08 COLLEGIUM PHARMACEUTICAL, INC 52
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 541700
Sponsor’s telephone number 4017622000
Plan sponsor’s address 400 HIGHLAND CORPORATE DRIVE, CUMBERLAND, RI, 02864

Plan administrator’s name and address
Administrator’s EIN 030416362
Plan administrator’s name COLLEGIUM PHARMACEUTICAL, INC
Plan administrator’s address 400 HIGHLAND CORPORATE DRIVE, CUMBERLAND, RI, 02864
Administrator’s telephone number 4017622000

Signature of
Role Plan administrator
Date 2010-10-08
Name of individual signing STEVEN N. TANNENBAUM
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2010-10-08
Name of individual signing COLLEGIUM PHARMACEUTICAL, INC.
Valid signature Filed with incorrect/unrecognized electronic signature
COLLEGIUM PHARMACEUTICAL RETIREMENT PLAN 2009 030416362 2010-10-13 COLLEGIUM PHARMACEUTICAL, INC 52
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 541700
Sponsor’s telephone number 4017622000
Plan sponsor’s address 400 HIGHLAND CORPORATE DRIVE, CUMBERLAND, RI, 02864

Plan administrator’s name and address
Administrator’s EIN 030416362
Plan administrator’s name COLLEGIUM PHARMACEUTICAL, INC
Plan administrator’s address 400 HIGHLAND CORPORATE DRIVE, CUMBERLAND, RI, 02864
Administrator’s telephone number 4017622000

Signature of
Role Plan administrator
Date 2010-10-13
Name of individual signing STEVEN N. TANNENBAUM
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
CORPORATION SERVICE COMPANY Agent 222 JEFFERSON BOULEVARD SUITE 200, WARWICK, RI, 02888, USA

TREASURER

Name Role Address
MICHAEL T HEFFERNAN TREASURER 400 HIGHLAND CORPORATE DRIVE CUMBERLAND, RI 02864 USA

PRESIDENT

Name Role Address
MICHAEL T HEFFERNAN PRESIDENT 400 HIGHLAND CORPORATE DRIVE CUMBERLAND, RI 02864- USA

DIRECTOR

Name Role Address
PATRICK HERON DIRECTOR WILLOW ROAD, SUITE 200 MENLO PARK, CA 94025 USA
MICHAEL T HEFFERNAN DIRECTOR 400 HIGHLAND CORPORATE DRIVE CUMBERLAND, RI 02864 USA
ROBERT GEVON DIRECTOR 30 ROWES WHARF #400 BOSTON, MA 02110 USA
GINO SANTINI DIRECTOR 780 DEDHAM ST CANTON, MA 02021 USA
STEPHEN HOFFMAN DIRECTOR 303 WYMAN STREET, SUITE 300 WALTHAM, MA 02451 USA
DAVID HIRSCH DIRECTOR 545 STEAMBOAT ROAD GREENWICH, CT 06830 USA

Events

Type Date Old Value New Value
Name Change 2004-04-22 Collegium Pharmaceuticals, Inc. Collegium Pharmaceutical, Inc.

Filings

Number Name File Date
201449508430 Revocation Certificate For Failure to File the Annual Report for the Year 2014-11-06
201439506330 Revocation Notice For Failure to File An Annual Report 2014-05-20
201312244290 Annual Report 2013-02-21
201294311230 Annual Report 2012-06-26
201293123140 Revocation Notice For Failure to File An Annual Report 2012-05-23
201180753560 Annual Report 2011-06-28
201057355730 Annual Report 2010-01-26
200942788800 Annual Report 2009-02-24
200807251960 Annual Report 2008-03-05

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Date of last update: 09 Oct 2024

Sources: Rhode Island Department of State

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