-----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, ShvMTQy4b01Njh8ABAqlYVePaYD7hDyUVQ6BGjM4Cuv046tOhYpoZbKQSBYqzmXr 7hJmhebrcBSJG66hl/EjXw== 0001209191-08-034443.txt : 20080602 0001209191-08-034443.hdr.sgml : 20080602 20080602185010 ACCESSION NUMBER: 0001209191-08-034443 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20080530 FILED AS OF DATE: 20080602 DATE AS OF CHANGE: 20080602 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: UNIVERSAL BIOSENSORS INC CENTRAL INDEX KEY: 0001279695 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 980424072 STATE OF INCORPORATION: DE BUSINESS ADDRESS: STREET 1: 103 RICKETTS ROAD STREET 2: MT. WAVERLEY CITY: VICTORIA STATE: C3 ZIP: 3149 BUSINESS PHONE: 613-8542-9000 MAIL ADDRESS: STREET 1: 103 RICKETTS ROAD STREET 2: MT. WAVERLEY CITY: VICTORIA STATE: C3 ZIP: 3149 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Kiefel Charles CENTRAL INDEX KEY: 0001398645 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-52607 FILM NUMBER: 08875271 BUSINESS ADDRESS: BUSINESS PHONE: 613 8542-9000 MAIL ADDRESS: STREET 1: 103 RICKETTS ROAD STREET 2: MT. WAVERLEY CITY: VICTORIA STATE: C3 ZIP: 3149 4 1 doc4.xml FORM 4 SUBMISSION X0202 4 2008-05-30 0 0001279695 UNIVERSAL BIOSENSORS INC UBI 0001398645 Kiefel Charles 1 CORPORATE AVENUE ROWVILLE VICTORIA C3 3178 AUSTRALIA 1 0 0 0 Common Stock 2008-05-30 4 P 0 18780 16619.36 A 59818 I See Footnote Common Stock 181237 D Common Stock 5662768 I By The Principals Cornerstone Fund Pty Ltd The aggregate price of the common stock reported is stated in Australian dollars. Dale Kiefel Pty Ltd holds the reported shares as trustee for Mr. Kiefel's wife's superannuation fund (Dale Kiefel Superannuation Fund). The Reporting Person disclaims beneficial ownership of these securities, and this report shall not be deemed an admisstion that the Reporting Person is the beneficial owner of such securities for purposes of Section 16 or for any other purpose. The Principals Cornerstone Fund Pty Ltd holds the reported securities on trust for the Reporting Person. /s/ Cameron Billingsley, Attorney in Fact 2008-06-02 -----END PRIVACY-ENHANCED MESSAGE-----