OMB APPROVAL
-----------------------------------
OMB Number: 3235-0145
Expires: October 31, 1994
Estimated average burden
hours per response..........14.90
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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13G
Under the Securities Exchange Act of 1934
Collagen Corporation
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(Name of Issuer)
Common Stock
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(Title of Class of Securities)
194194-10-6
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(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,
1996.
Reid W. Dennis (Reporting Person)
S.E.C. Account #0000903975
cc: NASDAQ Operations Department
Ms. Debbie Wilkins, Venture Law Group
Ms. Joan Trampenau, Collagen Corporation
Page 1 of 5 pages
<PAGE>
OMB APPROVAL
-----------------------------------
OMB Number: 3235-0145
Expires: October 31, 1994
Estimated average burden
hours per response..........14.90
-----------------------------------
<TABLE>
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
<CAPTION>
<S> <C> <C>
- ----------------------------------------------------- ------------------------------------------
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 697,043 Shares *Includes Stock Options held by Mr. Dennis for 49,000 shares
------- -----------------------------------------------------------------------------------------------
6 SHARED VOTING POWER
N/A
------- -----------------------------------------------------------------------------------------------
7 SOLE DISPOSITIVE POWER
697,043 Shares *Includes Stock Options held by Mr. Dennis for 49,000 shares
------- -----------------------------------------------------------------------------------------------
8 SHARED DISPOSITIVE POWER
N/A
- ------------- ----------------------------------------------------------------------------------------------------------------------
9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
697,043 Shares *Includes Stock Options held by Mr. Dennis for 49,000 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,
in which he disclaims any beneficial ownership [X]
- ------------- ----------------------------------------------------------------------------------------------------------------------
Page 2 of 5 pages
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11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
7.9%
- ------------- ----------------------------------------------------------------------------------------------------------------------
12 TYPE OF REPORTING PERSON*
IN
- ------------- ----------------------------------------------------------------------------------------------------------------------
<FN>
*SEE INSTRUCTION BEFORE FILLING OUT!
</FN>
</TABLE>
Page 3 of 5 pages
<PAGE>
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: 697,043 Shares
(b) Percent of Class: 7.9%
(c) Number of shares as to which such person has:
(i) sole power to vote or to direct the vote: 697,043 shares
(ii) shared power to vote or to direct the vote: -0-
(iii) sole power to dispose or to direct the disposition of: 697,043 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
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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.
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Date
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Signature
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Name/Title
Page 5 of 5 pages
