0001104659-21-003032.txt : 20210111
0001104659-21-003032.hdr.sgml : 20210111
20210111170331
ACCESSION NUMBER: 0001104659-21-003032
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210107
FILED AS OF DATE: 20210111
DATE AS OF CHANGE: 20210111
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Coleman Craig E.
CENTRAL INDEX KEY: 0001678533
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-52607
FILM NUMBER: 21521480
MAIL ADDRESS:
STREET 1: 1 CORPORATE AVENUE
CITY: ROWVILLLE VICTORIA
STATE: C3
ZIP: 3178
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: 1 CORPORATE AVENUE
STREET 2: ROWVILLE
CITY: VICTORIA
STATE: C3
ZIP: 3178
BUSINESS PHONE: 613-9213-9000
MAIL ADDRESS:
STREET 1: 1 CORPORATE AVENUE
STREET 2: ROWVILLE
CITY: VICTORIA
STATE: C3
ZIP: 3178
4
1
tm212740-2_4.xml
OWNERSHIP DOCUMENT
X0306
4
2021-01-07
0
0001279695
UNIVERSAL BIOSENSORS INC
UBI
0001678533
Coleman Craig E.
1 CORPORATE AVENUE
ROWVILLLE VICTORIA
C3
3178
AUSTRALIA
1
0
1
0
Common Stock
2021-01-07
4
S
0
12559109
D
27246227
I
By Partnership
Common Stock
220000
I
By the Coleman Super Fund
Traded as Chess Depository Interests ("CDIs") on the Australian Stock Exchange. CDIs represent beneficial interests in the common stock held by CHESS Depository Nominees Pty Ltd.
The Reporting Person is a director of Viburnum Funds Pty Ltd ("Viburnum"), which ceased as manager of the VF High Conviction Fund ("Conviction Fund") on January 7, 2021. The Conviction Fund held 12,559,109 CDIs at the time of Viburnum ceasing to manage the Conviction Fund.
The Reporting Person is a director of Viburnum, which is the manager of each of VF Strategic Equities Fund ("Strategic Fund") and separately managed accounts on behalf of a Viburnum client ("Strategic Mandates") the direct beneficial owners of the common stock. The Reporting Person disclaims beneficial ownership within the meaning of Section 16 of the Securities Exchange Act of 1934, as amended, or otherwise of the common stock held by Strategic Fund, and Strategic Mandates, except to the extent of his pecuniary interest therein.
Viburnum, as the manager of Strategic Fund and Strategic Mandates, may be deemed to beneficially own 27,246,227 shares of common stock, which consists of 18,442,469 and 8,803,758 shares of common stock held by Strategic Fund and Strategic Mandates, respectively. Viburnum, as the manager of each of Strategic Fund and Strategic Mandates, shares voting and dispositive power over, and may be deemed to beneficially own, the common stock held by the foregoing entities. The Reporting Person shares voting and dispositive power over, and may be deemed to beneficially own, the common stock held by the foregoing entities due to the Reporting Person serving as a director of Viburnum.
Craig E. and Phylis Coleman are the trustees of the Coleman Super Fund, of which Mr. Coleman is a potential beneficiary.
n/a
/s/ David St. Quintin, as attorney-in-fact
2021-01-11