0001945592-22-000001.txt : 20220907 0001945592-22-000001.hdr.sgml : 20220907 20220907111849 ACCESSION NUMBER: 0001945592-22-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20220907 DATE AS OF CHANGE: 20220907 EFFECTIVENESS DATE: 20220907 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Collage Group Parent, Inc. CENTRAL INDEX KEY: 0001945592 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-458170 FILM NUMBER: 221230361 BUSINESS ADDRESS: STREET 1: 4550 MONTGOMERY AVE, SUITE 205 CITY: BETHESDA STATE: MD ZIP: 20813 BUSINESS PHONE: 2404828260 MAIL ADDRESS: STREET 1: 4550 MONTGOMERY AVE, SUITE 205 CITY: BETHESDA STATE: MD ZIP: 20813 D 1 primary_doc.xml X0708 D LIVE 0001945592 Collage Group Parent, Inc. 4550 MONTGOMERY AVE, SUITE 205 BETHESDA MD MARYLAND 20813 2404828260 DELAWARE None None Corporation true 2022 David Wellisch c/o Collage Group 4550 Montgomery Ave #205 Bethesda MD MARYLAND 20814 Executive Officer Director Jon Sherry c/o Collage Group 4550 Montgomery Ave #205 Bethesda MD MARYLAND 20814 Director Deepak Sindwani c/o Collage Group 4550 Montgomery Ave #205 Bethesda MD MARYLAND 20814 Director Jason Saghir c/o Collage Group 4550 Montgomery Ave #205 Bethesda MD MARYLAND 20814 Director Dennis Ainge c/o Collage Group 4550 Montgomery Ave #205 Bethesda MD MARYLAND 20814 Director Other Decline to Disclose 06b false 2022-05-04 false true true Preferred Stock can convert to underlying shares of Common Stock. false 0 25499910 25499910 0 false 5 0 1200000 7790928 false Collage Group Parent, Inc. /s/ David Wellisch David Wellisch Chief Executive Officer 2022-09-02