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