0000849146-15-000123.txt : 20151112 0000849146-15-000123.hdr.sgml : 20151112 20151112132001 ACCESSION NUMBER: 0000849146-15-000123 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20151111 FILED AS OF DATE: 20151112 DATE AS OF CHANGE: 20151112 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: 9785 S. MONROE STREET STREET 2: SUITE 300 CITY: SANDY STATE: UT ZIP: 84070 BUSINESS PHONE: 801-432-9000 MAIL ADDRESS: STREET 1: 9785 S. MONROE STREET STREET 2: SUITE 300 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: BEINDORFF MICHAEL A CENTRAL INDEX KEY: 0001309611 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35647 FILM NUMBER: 151223165 MAIL ADDRESS: STREET 1: EXCLUSIVE RESORTS, LLC STREET 2: 1530 16TH STREET, SUITE 500 CITY: DENVER STATE: CO ZIP: 80202 4 1 wf-form4_144735239150481.xml FORM 4 X0306 4 2015-11-11 0 0000849146 Lifevantage Corp LFVN 0001309611 BEINDORFF MICHAEL A 9785 SOUTH MONROE STREET, SUITE 300 SANDY UT 84070 1 0 0 0 Common Stock 2015-11-11 4 P 0 89 8.47 A 1189 I By Spouse as Custodian for Minor Children Common Stock 8000 I By Spouse Common Stock 202000 D /s/ Michael Beindorff 2015-11-12