Salesh Balak - Aug 19, 2021 Form 4 Insider Report for UNIVERSAL BIOSENSORS INC (UBI)

Role: Chief Financial Officer
Signature: /s/ Salesh Balak
Stock symbol: UBI
Transactions as of: Aug 19, 2021
Transactions value $: $0
Form type: 4
Date filed: 9/14/2021, 08:26 PM
Next filing: Feb 28, 2022

Transactions Table

Type	Sym	Class	Transaction	Value $	Shares	Change %	* Price $	Shares After	Date	Ownership	Footnotes
transaction	UBI	Common Stock	Options Exercise	$0	+40K	+15.01%	$0.00	307K	Aug 19, 2021	Direct	F1

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type	Sym	Class	Transaction	Value $	Shares	Change %	* Price $	Shares After	Date	Underlying Class	Amount	Exercise Price	Ownership	Footnotes
transaction	UBI	Performance Rights	Award	$0	+500K		$0.00	500K	Aug 19, 2021	Common Stock	500K		Direct	F7
transaction	UBI	Performance Rights	Award	$0	+250K		$0.00	250K	Aug 19, 2021	Common Stock	250K		Direct	F8
transaction	UBI	Stock Option (Right to Buy)	Options Exercise	$0	-40K	-100%	$0.00^*	0	Aug 19, 2021	Common Stock	40K	$0.00	Direct	F6
holding	UBI	Stock Option (Right to Buy)						500K	Aug 19, 2021	Common Stock	500K	$0.30	Direct	F2, F3
holding	UBI	Stock Option (Right to Buy)						721K	Aug 19, 2021	Common Stock	721K	$0.50	Direct	F2, F4
holding	UBI	Stock Option (Right to Buy)						216K	Aug 19, 2021	Common Stock	216K	$0.50	Direct	F2, F5

* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id	Content
F1	Includes (i) 302,392 shares in the form of CDIs Mr. Balak holds directly and (ii) 4,166 restricted fully paid shares.
F2	The price reported is stated in Australian dollars.
F3	The options are fully vested but can only be exercised after 03/01/2021.
F4	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.
F5	216,300 stock options vested and became exercisable on 12/31/2017.
F6	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 vested and became exercisable on 12/31/2017. These options were exercised on 08/19/2021.
F7	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.
F8	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.