0000849146-14-000095.txt : 20141119
0000849146-14-000095.hdr.sgml : 20141119
20141119163159
ACCESSION NUMBER: 0000849146-14-000095
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20141118
FILED AS OF DATE: 20141119
DATE AS OF CHANGE: 20141119
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: Phelps David N.
CENTRAL INDEX KEY: 0001602415
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35647
FILM NUMBER: 141235900
MAIL ADDRESS:
STREET 1: 9785 SOUTH MONROE STREET, SUITE 300
CITY: SANDY
STATE: UT
ZIP: 84070
4
1
wf-form4_141643270672959.xml
FORM 4
X0306
4
2014-11-18
0
0000849146
Lifevantage Corp
LFVN
0001602415
Phelps David N.
9785 SOUTH MONROE STREET, SUITE 300
SANDY
UT
84070
0
1
0
0
Chief Sales Officer
Common Stock
2014-11-18
4
F
0
4044
1.29
D
45956
D
These shares were withheld to satisfy tax withholding obligations in connection with the partial vesting of a restricted stock award granted on November 18, 2013.
/s/ Rob Cutler, Attorney-in-Fact
2014-11-18