0001437749-22-004498.txt : 20220228
0001437749-22-004498.hdr.sgml : 20220228
20220228060910
ACCESSION NUMBER: 0001437749-22-004498
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220224
FILED AS OF DATE: 20220228
DATE AS OF CHANGE: 20220228
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Balak Salesh
CENTRAL INDEX KEY: 0001397500
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-52607
FILM NUMBER: 22683767
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: 613-9213-9000
MAIL ADDRESS:
STREET 1: 1 CORPORATE AVENUE
STREET 2: ROWVILLE
CITY: VICTORIA
STATE: C3
ZIP: 3178
4
1
rdgdoc.xml
FORM 4
X0306
4
2022-02-24
0001279695
UNIVERSAL BIOSENSORS INC
UBI
0001397500
Balak Salesh
1 CORPORATE AVENUE
ROWVILLE
VICTORIA
C3
3178
AUSTRALIA
1
Chief Financial Officer
Common Stock
2022-02-24
4
A
0
30000
0
A
336558
D
Performance Rights
2025-03-24
Common Stock
500000
500000
D
Performance Rights
2025-03-24
Common Stock
250000
250000
D
Stock Options (Right to Buy)
0.3000
2025-03-24
Common Stock
500000
500000
D
Stock Options (Right to Buy)
0.5000
2023-04-20
Common Stock
721000
721000
D
Stock Options (Right to Buy)
0.5000
2024-02-27
Common Stock
216300
216300
D
The price reported is stated in Australian dollars.
The options are fully vested and became exercisable on 03/01/2021.
206,000 of the stock options vested and became exercisable on 10/05/2016, 412,000 of the stock options vested and became exercisable on 12/31/2016 and 103,000 of the stock options vested and became exercisable on 02/23/2017.
216,300 stock options vested and became exercisable on 12/31/2017.
Each performance right represents a contingent right to receive one share of common stock of Universal Biosensors, Inc. ("UBI"). The performance rights vest upon, among other triggers, UBI's market capitalization having achieved a specified threshold.
Each performance right represents a contingent right to receive one share of common stock of UBI. The performance rights vest upon a change of control transaction with a value greater a specified threshold.
/s/ Salesh Balak
2022-02-24