0000899243-16-016049.txt : 20160315 0000899243-16-016049.hdr.sgml : 20160315 20160315210516 ACCESSION NUMBER: 0000899243-16-016049 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160314 FILED AS OF DATE: 20160315 DATE AS OF CHANGE: 20160315 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Unilife Corp CENTRAL INDEX KEY: 0001476170 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 271049354 STATE OF INCORPORATION: DE FISCAL YEAR END: 0630 BUSINESS ADDRESS: STREET 1: 250 CROSS FARM LANE CITY: YORK STATE: PA ZIP: 17406 BUSINESS PHONE: (717) 384-3400 MAIL ADDRESS: STREET 1: 250 CROSS FARM LANE CITY: YORK STATE: PA ZIP: 17406 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Mojdehbakhsh Ramin CENTRAL INDEX KEY: 0001512099 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34540 FILM NUMBER: 161508443 MAIL ADDRESS: STREET 1: UNILIFE CORPORATION STREET 2: 250 CROSS FARM LANE CITY: YORK STATE: PA ZIP: 17406 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-03-14 1 0001476170 Unilife Corp UNIS 0001512099 Mojdehbakhsh Ramin 250 CROSS FARM LANE YORK PA 17406 0 1 0 0 See Remarks Common Stock 2016-03-14 4 A 0 3800000 0.00 A 5635850 D Common Stock 2016-03-14 4 F 0 1113683 0.88 D 4522167 D These shares of Common Stock were awarded (the "Award") to the reporting person in connection with the reporting person's entry into the General Release (the "Release"), effective March 14, 2016, between the reporting person and Unilife Corporation (the "Company"). These shares of Common Stock were elected by the reporting person to be forfeited for the payment of income tax withholdings (i) based on the closing price of the Common Stock on March 11, 2016 and (ii) in connection with the Award, certain payments to the reporting person and the acceleration of vesting for certain restricted shares of Common Stock, previously awarded to the reporting person, in accordance with the terms of the Release. President and Chief Operating Officer /s/ Ramin Mojdehbakhsh 2016-03-15