-----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, NbJqQbq2HL9jMa0stEdjLw6dwkDQvUDkh9I1vJ36li2QRHxd7X+/aqn4+ENWVfyp b3b+8d9Bf+1fR1X3yoFd/Q== 0001181431-04-059222.txt : 20041216 0001181431-04-059222.hdr.sgml : 20041216 20041216143934 ACCESSION NUMBER: 0001181431-04-059222 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040525 FILED AS OF DATE: 20041216 DATE AS OF CHANGE: 20041216 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: COLLAGENEX PHARMACEUTICALS INC CENTRAL INDEX KEY: 0001012270 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 521758016 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 41 UNIVERSITY DRIVE CITY: NEWTON STATE: PA ZIP: 18940 BUSINESS PHONE: 2155797388 MAIL ADDRESS: STREET 1: 41 UNIVERSITY DRIVE CITY: NEWTON STATE: PA ZIP: 18940 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DAVERMAN JAMES E CENTRAL INDEX KEY: 0001033489 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 000-28308 FILM NUMBER: 041207777 BUSINESS ADDRESS: STREET 1: 500 CORPORATE CENTRE STREET 2: 520 LAKE COOK ROAD SUITE 450 CITY: DEERFIELD STATE: IL ZIP: 60015 BUSINESS PHONE: 215-579-7388 MAIL ADDRESS: STREET 1: C/O COLLAGENEX PHARMACEUTICALS, INC STREET 2: 41 UNIVERSITY DRIVE, SUITE 200 CITY: NEWTOWN STATE: PA ZIP: 18940 4/A 1 rrd61480.xml FORM 4/A X0202 4/A 2004-05-25 2004-06-23 0 0001012270 COLLAGENEX PHARMACEUTICALS INC CGPI 0001033489 DAVERMAN JAMES E C/O COLLAGENEX PHARMACEUTICALS, INC. 41 UNIVERSITY DRIVE, SUITE 200 NEWTOWN PA 18940 1 0 0 0 Options to Purchase Common Stock 10.05 2004-05-25 4 A 0 18000 0 A 2005-05-25 2014-05-25 Common Stock 18000 67236 D This Amendment is being filed to correct the transaction date which was inadvertently reported as 5/25/2005. Represents options granted by the Issuer pursuant to its 1996 Stock Option Plan on May 25, 2004. Subject to certain criteria, such options vest as follows: 4,500 shares subject to such options vest on May 25, 2005, 4,500 shares subject to such options vest on May 25, 2006, 4,500 shares subject to such options vest on May 25, 2007 and 4,500 shares subject to such options vest on May 25, 2008. Includes multiple option grants with different prices and vesting dates. /s/ Frank Ruffo for James E. Daverman by Power of Attorney 2004-12-16 -----END PRIVACY-ENHANCED MESSAGE-----