0001181431-12-059946.txt : 20121121 0001181431-12-059946.hdr.sgml : 20121121 20121121142153 ACCESSION NUMBER: 0001181431-12-059946 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121113 FILED AS OF DATE: 20121121 DATE AS OF CHANGE: 20121121 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Chambers Garry CENTRAL INDEX KEY: 0001398646 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-52607 FILM NUMBER: 121220846 MAIL ADDRESS: STREET 1: 103 RICKETTS ROAD STREET 2: MT. WAVERLEY CITY: VICTORIA STATE: C3 ZIP: 3149 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: 613-8542-9000 MAIL ADDRESS: STREET 1: 1 CORPORATE AVENUE STREET 2: ROWVILLE CITY: VICTORIA STATE: C3 ZIP: 3178 4 1 rrd361141.xml FORM 4 X0306 4 2012-11-13 0 0001279695 UNIVERSAL BIOSENSORS INC UBI 0001398646 Chambers Garry 1 CORPORATE AVENUE ROWVILLE VICTORIA C3 3178 AUSTRALIA 0 1 0 0 Vice President, Operations Common Stock 2012-11-13 4 A 0 917 0.00 A 1762341 D Stock Option (Right to Buy) 0.00 2012-11-13 4 A 0 25000 0 A 2019-11-12 Common Stock 25000 25000 D Stock Option (Right to Buy) 0.00 2018-11-17 Common Stock 25000 25000 D Stock Option (Right to Buy) 0.00 2017-11-10 Common Stock 25000 25000 D Stock Option (Right to Buy) 1.72 2019-11-09 Common Stock 100000 100000 D Stock Option (Right to Buy) 0.00 2019-06-28 Common Stock 105000 105000 D Stock Option (Right to Buy) 0.00 2019-05-14 Common Stock 16667 16667 D Stock Option (Right to Buy) 0.89 2018-03-16 Common Stock 100000 100000 D Stock Option (Right to Buy) 0.22 2013-12-30 Common Stock 576336 576336 D Stock Option (Right to Buy) 0.26 2015-12-31 Common Stock 36248 36248 D Stock Option (Right to Buy) 1.18 2017-03-22 Common Stock 36000 36000 D The exercise prices reported are stated in Australian dollars. 8,333 stock options vest and become exercisable on 12/31/2013, 8,333 stock options vest and become exercisable on 12/31/2014, and 8,334 stock options vest and become exercisable on 12/31/2015. 8,333 stock options vest and become exercisbale on 12/31/2012, 8,333 stock options vest and become exercisbale on 12/31/2013, and 8,334 stock options vest and become exercisable on 12/31/2014. 8,333 stock options vested and became exercisbale on 12/31/2011, 8,333 stock options vest and become exercisbale on 12/31/2012, and 8,334 stock options vest and become exercisable on 12/31/2013. 1/3 of the stock options vested and became exercisable on 12/31/10, 1/3 of the stock options vested and became exercisable on 12/31/11 and the remaining stock options vest and become exercisable on 12/31/12. 10,000 stock options vest and become exercisable on 12/31/10, 21,666 stock options vested and became exercisable on 12/31/11, 35,000 stock options vest and become exercisable on 12/31/12, 25,000 stock options vest and become exercisable on 12/31/13, and 13,334 stock options vest and become exercisable on 12/31/14. 8,333 stock options were exercised on February 10, 2010. 8,333 stock options vested and became exercisable on 12/31/2010 and the remaining stock options vested and became exercisable on 12/31/11. 1/3 of the stock options vested and became exercisable on 12/31/08. 1/3 of the stock options vested and became exercisable on 12/31/09. The remaining stock options vested and became exercisable on 12/31/10. 1/3 of the stock options vested and became exercisable on 12/31/08. 1/3 of the stock options vested and became exercisable on 12/31/09. The remaining stock options vested and became exercisable on 12/31/10. 1/3 of the stock options vested and became exercisable on 01/01/07; 1/3 of the stock options vested and became exercisable on 01/01/08, and the remaining stock options vested and became exercisable on 01/01/09. The stock options vested and became exercisable in three equal tranches on 12/31/07, 12/31/08, and 12/31/09. /s/ Cameron Billingsley, Attorney-in-Fact 2012-11-15