0000849146-17-000120.txt : 20171114
0000849146-17-000120.hdr.sgml : 20171114
20171114132422
ACCESSION NUMBER: 0000849146-17-000120
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20171113
FILED AS OF DATE: 20171114
DATE AS OF CHANGE: 20171114
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Jensen Darren Jay
CENTRAL INDEX KEY: 0001642848
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35647
FILM NUMBER: 171200171
MAIL ADDRESS:
STREET 1: C/O LIFEVANTAGE CORPORATION
STREET 2: 9785 SOUTH MONROE ST. SUITE 300
CITY: SANDY
STATE: UT
ZIP: 84070
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
4
1
wf-form4_151068384915418.xml
FORM 4
X0306
4
2017-11-13
0
0000849146
Lifevantage Corp
LFVN
0001642848
Jensen Darren Jay
9785 SOUTH MONROE STREET, SUITE 300
SANDY
UT
84070
1
1
0
0
Chief Executive Officer
Common Stock
2017-11-13
4
P
0
2000
5.0649
A
151358
D
The purchase price reported in Column 4 is a weighted average price. These shares were purchased in multiple transactions ranging from $4.999 to $5.07, inclusive. The reporting person undertakes to provide to LifeVantage Corporation, any security holder of LifeVantage Corporation, or the staff of the Securities and Exchanges Commission, upon request, full information regarding the number of shares purchased at each separate price.
/s/ Darren Jay Jensen
2017-11-13