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