0000849146-13-000004.txt : 20130814 0000849146-13-000004.hdr.sgml : 20130814 20130814110831 ACCESSION NUMBER: 0000849146-13-000004 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20130801 FILED AS OF DATE: 20130814 DATE AS OF CHANGE: 20130814 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Lifevantage Corp CENTRAL INDEX KEY: 0000849146 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 841097796 STATE OF INCORPORATION: CO FISCAL YEAR END: 0630 BUSINESS ADDRESS: STREET 1: 9815 S. MONROE STREET STREET 2: SUITE 100 CITY: SANDY STATE: UT ZIP: 84070 BUSINESS PHONE: 801-432-9000 MAIL ADDRESS: STREET 1: 9815 S. MONROE STREET STREET 2: SUITE 100 CITY: SANDY STATE: UT ZIP: 84070 FORMER COMPANY: FORMER CONFORMED NAME: LIFELINE THERAPEUTICS, INC. DATE OF NAME CHANGE: 20041019 FORMER COMPANY: FORMER CONFORMED NAME: YAAK RIVER RESOURCES INC DATE OF NAME CHANGE: 19920703 FORMER COMPANY: FORMER CONFORMED NAME: ANDRAPLEX CORP DATE OF NAME CHANGE: 19920406 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Colbert David CENTRAL INDEX KEY: 0001495711 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35647 FILM NUMBER: 131035829 MAIL ADDRESS: STREET 1: 3160 PINEBROOK RD CITY: PARK CITY STATE: UT ZIP: 84098 4 1 wf-form4_137649290181551.xml FORM 4 X0306 4 2013-08-01 0 0000849146 Lifevantage Corp LFVN 0001495711 Colbert David 9815 SOUTH MONROE STREET SUITE 100 SANDY UT 84070 0 1 0 0 Chief Financial Officer Common Stock 2013-08-01 4 F 0 5773 2.63 D 216227 D The shares were withheld to satisfy tax withholding obligations in connection with the partial vesting of a restricted stock award granted on August 1, 2012. /s/ Rob Cutler, Attorney-in-Fact 2013-08-13