0000899243-17-024787.txt : 20171026 0000899243-17-024787.hdr.sgml : 20171026 20171026205148 ACCESSION NUMBER: 0000899243-17-024787 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171024 FILED AS OF DATE: 20171026 DATE AS OF CHANGE: 20171026 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Hodges Alastair CENTRAL INDEX KEY: 0001397489 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-52607 FILM NUMBER: 171157665 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 doc4.xml FORM 4 SUBMISSION X0306 4 2017-10-24 0 0001279695 UNIVERSAL BIOSENSORS INC UBI 0001397489 Hodges Alastair 1 CORPORATE AVENUE ROWVILLE VICTORIA C3 3178 AUSTRALIA 0 1 0 0 Chief Scientist Common Stock 2017-10-24 4 M 0 25000 0.00 A 2871615 D Stock Option (Right to Buy) 0.50 2023-04-20 Common Stock 742000 742000 D Stock Option (Right to Buy) 0.00 2022-01-29 Common Stock 40000 40000 D Stock Option (Right to Buy) 0.00 2020-12-11 Common Stock 40000 40000 D Stock Option (Right to Buy) 0.00 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 2017-10-24 4 M 0 25000 0.00 D 2017-11-10 Common Stock 25000 0 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 The issue price reported is stated in Australian dollars. 13,333 stock options vested and became exercisable on 12/31/2015, 13,333 stock options vested and became exercisable on 12/31/2016, and 13,334 stock options vest and become exercisable on 12/31/2017. 13,333 stock options vested and became exercisable on 12/31/2014, 13,333 stock options vested and became exercisable on 12/31/2015, and 13,334 stock options vested and became exercisable on 12/31/2016. 8,333 stock options vested and became exercisable on 12/31/2013, 8,333 stock options vested and became exercisable on 12/31/2014, and 8,334 stock options vested and became exercisable on 12/31/2015. 8,333 stock options vested and became exercisable on 12/31/2012, 8,333 stock options vested and became exercisable on 12/31/2013, and 8,334 stock options vested and became exercisable on 12/31/2014. 8,333 stock options vested and became exercisable on 12/31/2011, 8,333 stock options vested and became exercisable on 12/31/2012, and 8,334 stock options vested and became exercisable on 12/31/2013. 1/3 of the stock options vested and became exercisable on 12/31/2010, 1/3 of the stock options vested and became exercisable on 12/31/2011 and the remaining stock options vested and became exercisable on 12/31/2012. 10,000 stock options vested and became exercisable on 12/31/2010, 21,666 stock options vested and became exercisable on 12/31/2011, 35,000 stock options vested and became exercisable on 12/31/2012, 25,000 stock options vested and became exercisable on 12/31/2013, and 13,334 stock options vested and became exercisable on 12/31/2014. 8,333 stock options vested and became exercisable on 12/31/2009 and 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 12/31/2008. 1/3 of the stock options vested and became exercisable on 12/31/2009. The remaining stock options vested and became exercisable on 12/31/2010. 212,000 of the stock options vested and became exercisable on October 5, 2016, 424,000 of the stock options vested and became exerciseable on December 31, 2016 and 106,000 of the stock options vested and became exercisable on February 23, 2017. Includes (i) 2,861,738 shares in the form of CDIs Dr. Hodges holds directly and (ii) 9,877 restricted fully paid shares. /s/ Cameron Billingsley, Attorney-in-Fact 2017-10-26