0000849146-14-000048.txt : 20140627
0000849146-14-000048.hdr.sgml : 20140627
20140625173758
ACCESSION NUMBER: 0000849146-14-000048
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20140624
FILED AS OF DATE: 20140625
DATE AS OF CHANGE: 20140625
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: Robinson Douglas C.
CENTRAL INDEX KEY: 0001481886
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35647
FILM NUMBER: 14940834
MAIL ADDRESS:
STREET 1: C/O LIFEVANTAGE CORPORATION
STREET 2: 11545 W. BERNARDO CT., SUITE 301
CITY: SAN DIEGO
STATE: CA
ZIP: 92127
4
1
wf-form4_140373224178877.xml
FORM 4
X0306
4
2014-06-24
0
0000849146
Lifevantage Corp
LFVN
0001481886
Robinson Douglas C.
9785 SOUTH MONROE STREET, SUITE 300
SANDY
UT
84070
1
1
0
0
President & CEO
Common Stock
2014-06-24
4
F
0
28280
1.29
D
291720
D
These shares were withheld to satisfy tax withholding obligations in connection with the partial vesting of a restricted stock award granted on June 24, 2013.
/s/ Rob Cutler, Attorney-in-Fact
2014-06-25