Insider filing report for Changes in Beneficial Ownership
- Schedule 13G & 13D forms are used to report a party's ownership of stock which exceeds 5% of a company's total stock issue.
- Schedule 13G is a shorter version of Schedule 13D with fewer reporting requirements.
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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13G
(Rule 13d-102)
INFORMATION TO BE INCLUDED IN STATEMENTS FILED PURSUANT
TO RULES 13d-1(b), (c), AND (d) AND AMENDMENTS THERETO FILED
PURSUANT TO RULE 13d-2
(Amendment No. 3)*
Universal Biosensors, Inc.
(Name of Issuer)
Common Stock, par value US$0.0001
(Title of Class of Securities)
Not Applicable
(CUSIP Number)
July 7, 2020
(Date of Event Which Requires Filing of the Statement)
Check the appropriate box to designate the rule pursuant to which this Schedule is filed:
| x | Rule 13d-1(b) |
| ¨ | Rule 13d-1(c) |
| ¨ | Rule 13d-1(d) |
*The remainder of this cover page shall be filled out for a reporting person’s initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page.
The information required on the remainder of this cover page shall not be deemed to be “filed” for the purpose of Section 18 of the Securities Exchange Act of 1934 (“Act”) or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).
| Page 1 of 9 |
| Cusip No. Not Applicable | 13G | Page 2 of 9 Pages |
|
1. |
NAME OF REPORTING PERSONS
CVC Limited
|
|
2. |
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (a) ¨ (b) x
|
|
3. |
SEC USE ONLY
|
|
4. |
CITIZENSHIP OR PLACE OF ORGANIZATION
Australia |
|
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH |
5. |
SOLE VOTING POWER
0 |
|
6. |
SHARED VOTING POWER
0 | |
|
7. |
SOLE DISPOSITIVE POWER
0 | |
|
8. |
SHARED DISPOSITIVE POWER
0 |
|
9. |
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
0 |
|
10. |
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES ¨ |
|
11. |
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
0.0% |
|
12. |
TYPE OF REPORTING PERSON (See Instructions)
FI |
| Page 2 of 9 |
| Cusip No. Not Applicable | 13G | Page 3 of 9 Pages |
|
1. |
NAME OF REPORTING PERSONS
Mark Avery
|
|
2. |
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (a) ¨ (b) x
|
|
3. |
SEC USE ONLY
|
|
4. |
CITIZENSHIP OR PLACE OF ORGANIZATION
Australia |
|
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH |
5. |
SOLE VOTING POWER
0 |
|
6. |
SHARED VOTING POWER
0 | |
|
7. |
SOLE DISPOSITIVE POWER
0 | |
|
8. |
SHARED DISPOSITIVE POWER
0 |
|
9. |
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
0 |
|
10. |
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES ¨ |
|
11. |
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
0.0% |
|
12. |
TYPE OF REPORTING PERSON (See Instructions)
IN |
| Page 3 of 9 |
| Cusip No. Not Applicable | 13G | Page 4 of 9 Pages |
|
1. |
NAME OF REPORTING PERSONS
John Read
|
|
2. |
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (a) ¨ (b) x
|
|
3. |
SEC USE ONLY
|
|
4. |
CITIZENSHIP OR PLACE OF ORGANIZATION
Australia |
|
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH |
5. |
SOLE VOTING POWER
0 |
|
6. |
SHARED VOTING POWER
0 | |
|
7. |
SOLE DISPOSITIVE POWER
0 | |
|
8. |
SHARED DISPOSITIVE POWER
0 |
|
9. |
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
0 |
|
10. |
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES ¨ |
|
11. |
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
0.0% |
|
12. |
TYPE OF REPORTING PERSON (See Instructions)
IN |
| Page 4 of 9 |
| Cusip No. Not Applicable | 13G | Page 5 of 9 Pages |
|
1. |
NAME OF REPORTING PERSONS
Ian Campbell
|
|
2. |
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (a) ¨ (b) x
|
|
3. |
SEC USE ONLY
|
|
4. |
CITIZENSHIP OR PLACE OF ORGANIZATION
Australia |
|
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH |
5. |
SOLE VOTING POWER
0 |
|
6. |
SHARED VOTING POWER
0 | |
|
7. |
SOLE DISPOSITIVE POWER
0 | |
|
8. |
SHARED DISPOSITIVE POWER
0 |
|
9. |
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
0 |
|
10. |
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES ¨ |
|
11. |
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
0.0% |
|
12. |
TYPE OF REPORTING PERSON (See Instructions)
IN |
| Page 5 of 9 |
| Cusip No. Not Applicable | 13G | Page 6 of 9 Pages |
|
1. |
NAME OF REPORTING PERSONS
Alexander Rapajic-Leaver
|
|
2. |
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (a) ¨ (b) x
|
|
3. |
SEC USE ONLY
|
|
4. |
CITIZENSHIP OR PLACE OF ORGANIZATION
Australia |
|
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH |
5. |
SOLE VOTING POWER
0 |
|
6. |
SHARED VOTING POWER
0 | |
|
7. |
SOLE DISPOSITIVE POWER
0 | |
|
8. |
SHARED DISPOSITIVE POWER
0 |
|
9. |
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
0 |
|
10. |
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES ¨ |
|
11. |
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
0.0% |
|
12. |
TYPE OF REPORTING PERSON (See Instructions)
IN |
| Page 6 of 9 |
| Cusip No. Not Applicable | 13G | Page 7 of 9 Pages |
| Item 1(a). | Name of Issuer: |
Universal Biosensors, Inc. (the “Company”)
| Item 1(b). | Address of Issuer’s Principal Executive Offices: |
1 Corporate Avenue
Rowville
Victoria, Australia 3178
Item 2.
(a) - (c) This Schedule 13G is being filed jointly by CVC Limited, an Australian public company (“CVC”), Mark Avery, John Read, Alexander Rapajic-Leaver and Ian Campbell, each of whom is sometimes referred to herein as a “Reporting Person” and collectively as the “Reporting Persons.”
The principal business address of each of CVC and Messrs. Avery, Read, Rapajic-Leaver and Campbell is c/o CVC Limited, Level 37, 1 Macquarie Place, Sydney, Australia 2000.
Messrs. Avery, Read, Rapajic-Leaver and Campbell are
Australian citizens.
| (d) | Title of Class of Securities: |
Common stock, par value US$0.0001 per share (the “Shares”), 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.
| (e) | CUSIP Number: |
Not applicable.
| Item 3. | If this statement is filed pursuant to Rules 13d-1(b), or 13d-2(b) or (c), check whether the person filing is a: |
| (a) | ¨ Broker or dealer registered under Section 15 of the Act (15 U.S.C 78o); |
| (b) | ¨ Bank as defined in Section 3(a)(6) of the Act (15 U.S.C 78c); |
| (c) | ¨ Insurance company as defined in Section 3(a)(19) of the Act (15 U.S.C 78c); |
| (d) | ¨ Investment company registered under Section 8 of the Investment Company Act of 1940 (15 U.S.C. 80a-8); |
| (e) | ¨ An investment adviser in accordance with Rule 13d-1(b)(1)(ii)(E); |
| (f) | ¨ An employee benefit plan or endowment fund in accordance with § 240.13d-1(b)(1)(ii)(F); |
| (g) | ¨ A parent holding company or control person in accordance with § 240.13d-1(b)(1)(ii)(G); |
| (h) | ¨ A savings association as defined in Section 3(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813); |
| (i) | ¨ A church plan that is excluded from the definition of an investment company under Section 3(c)(14) of the Investment Company Act (15 U.S.C. 80a-3); |
| (j) | x A non-U.S. institution in accord ance with § 240.13d-1(b)(1)(ii)(J); |
| (k) | ¨ Group, in accordance with § 240.13d-1(b)(1)(ii)(K). |
If filing as a non-U.S. institution in accordance with § 240.13d-1(b)(1)(ii)(J), please specify the type of institution: Australian Financial Services Licensee.
| Page 7 of 9 |
| Cusip No. Not Applicable | 13G | Page 8 of 9 Pages |
| Item 4. | Ownership: |
As of the date hereof, the Reporting Persons have ceased to be the beneficial owner of more than five percent of the class of securities. See the responses to Item 9 on the attached cover pages.
| Item 5. | Ownership of Five Percent or Less of a Class: |
If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than 5 percent of the class of securities, check the following x.
| Item 6. | Ownership of More than Five Percent on Behalf of Another Person: |
Not Applicable.
| Item 7. | Identification and Classification of the Subsidiary which Acquired the Security Being Reported on by the Parent Holding Company or Control Person: |
Not Applicable.
| Item 8. | Identification and Classification of Members of the Group: |
Not Applicable.
| Item 9. | Notice of Dissolution of Group: |
Not Applicable.
| Item 10. | Certifications: |
Not Applicable.
| Page 8 of 9 |
| Cusip No. Not Applicable | 13G | Page 9 of 9 Pages |
SIGNATURE
After reasonable inquiry and to the best of its knowledge and belief, I certify (the undersigned certifies) that the information set forth in this statement is true, complete and correct.
July 10, 2020
| CVC LIMITED | |||
MARK AVERY |
|||
| JOHN READ | |||
ALEXANDER RAPAJIC-LEAVER |
|||
| IAN CAMPBELL | |||
| CVC LIMITED | |||
| By: | /s/ John Hunter | ||
| Name: | John Hunter | ||
| Title: |
Company Secretary |
||
| For itself and on behalf of Mark Avery, John Read, Alexander Rapajic-Leaver and Ian Campbell, pursuant to an agreement annexed as Exhibit 1 hereto. | |||
| Page 9 of 9 |