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Filing Details

Accession Number:: 0001104659-24-065367
Form Type:: 4
Zero Holdings:: No
Publication Time:: 2024-05-28 08:47:10
Reporting Period:: 2024-05-27

Accepted Time:: 2024-05-28 08:47:10
SEC Url:: Form 4 Filing

Issuer

Cik	Name	Symbol	Sector (SIC)	IRS No
1279695	Universal Biosensors Inc	UBI	Surgical & Medical Instruments & Apparatus (3841)	980424072

Insiders

Cik	Name	Reported Address	Insider Title	Director	Officer	Large Shareholder	Other
1678533	E. Craig Coleman	1 Corporate Avenue Victoria C3 3178		Yes	No	Yes	No

Reported Non-Derivative Transactions

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Sec. Name	Acquisiton - Disposition	Date	Amount	Price	Remaning Holdings	Equity Swap Involved	Form Type	Code	Nature of Ownership	Explanation
Common Stock	Acquisiton	2024-05-27	1,421,293	$0.11	87,509,318	No	4	P	Indirect	By Partnership

Equity Swap Involved	Form Type	Code	Nature of Ownership	Explanation
No	4	P	Indirect	By Partnership

Reported Non-Derivative Holdings

Sec. Name	Remaning Holdings	Nature of Ownership	Explanation
Common Stock	970,802	Indirect	By the Coleman Super Fund

Reported Derivative Holdings

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Sec. Name	Sec. Type	Price	Date	Expiration Date	Amount	Remaning Holdings	Nature of Ownership
Common Stock	Stock Option (Right to Buy)	$0.20	2024-05-01	2027-05-08	43,138,991	43,138,991	Indirect
Common Stock	Stock Option (Right to Buy)	$0.20	2024-05-01	2027-05-08	217,182	217,182	Indirect
Common Stock	Stock Option (Right to Buy)	$0.92	2022-05-27	2025-05-26	1,920,000	1,920,000	Indirect
Common Stock	Stock Option (Right to Buy)	$1.00	2022-05-27	2025-05-26	1,920,000	1,920,000	Indirect

Expiration Date	Amount	Remaning Holdings	Nature of Ownership
2027-05-08	43,138,991	43,138,991	Indirect
2027-05-08	217,182	217,182	Indirect
2025-05-26	1,920,000	1,920,000	Indirect
2025-05-26	1,920,000	1,920,000	Indirect

Footnotes

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 price reported is stated in Australian dollars.
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 and stock options. 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 and stock options 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 87,509,318 shares of common stock, which consists of 38,876,431 and 48,632,887 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.
The Reporting Person and Phylis Coleman are the trustees of the Coleman Super Fund, of which the Reporting Person is a potential beneficiary.
Viburnum, as the manager of Strategic Fund and Strategic Mandates, may be deemed to beneficially own 43,138,991 stock options which an exercise price of A$0.20 and expiry date of 05/08/2027.
Viburnum, as the manager of Strategic Fund and Strategic Mandates, may be deemed to beneficially own 1,920,000 stock options which an exercise price of A$0.92 and expiry date of 05/26/2025.
Viburnum, as the manager of Strategic Fund and Strategic Mandates, may be deemed to beneficially own 1,920,000 stock options which an exercise price of A$1.00 and expiry date of 05/26/2025.