0000849146-14-000065.txt : 20140917
0000849146-14-000065.hdr.sgml : 20140917
20140917172151
ACCESSION NUMBER: 0000849146-14-000065
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20140915
FILED AS OF DATE: 20140917
DATE AS OF CHANGE: 20140917
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: Talbott Shawn M.
CENTRAL INDEX KEY: 0001602414
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35647
FILM NUMBER: 141108628
MAIL ADDRESS:
STREET 1: 9785 SOUTH MONROE STREET, SUITE 300
CITY: SANDY
STATE: UT
ZIP: 84070
4
1
wf-form4_141098890105919.xml
FORM 4
X0306
4
2014-09-15
0
0000849146
Lifevantage Corp
LFVN
0001602414
Talbott Shawn M.
9785 SOUTH MONROE STREET, SUITE 300
SANDY
UT
84070
0
1
0
0
Chief Science Officer
Common Stock
2014-09-15
4
P
0
8000
1.2499
A
58000
D
/s/ Rob Cutler, Attorney-in-Fact
2014-09-17