0000849146-15-000002.txt : 20150105 0000849146-15-000002.hdr.sgml : 20150105 20150105152319 ACCESSION NUMBER: 0000849146-15-000002 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150101 FILED AS OF DATE: 20150105 DATE AS OF CHANGE: 20150105 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: 15504340 MAIL ADDRESS: STREET 1: 9785 SOUTH MONROE STREET, SUITE 300 CITY: SANDY STATE: UT ZIP: 84070 4 1 wf-form4_142048938946218.xml FORM 4 X0306 4 2015-01-01 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 2015-01-01 4 F 0 3932 1.30 D 54068 D These shares were withheld to satisfy tax withholding obligations in connection with the partial vesting of a restricted stock award granted on January 1, 2014. /s/ Rob Cutler, Attorney-in-Fact 2015-01-05