0000849146-18-000028.txt : 20180206 0000849146-18-000028.hdr.sgml : 20180206 20180206163612 ACCESSION NUMBER: 0000849146-18-000028 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180202 FILED AS OF DATE: 20180206 DATE AS OF CHANGE: 20180206 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Lewis Darwin CENTRAL INDEX KEY: 0001698767 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35647 FILM NUMBER: 18578050 MAIL ADDRESS: STREET 1: 9785 S. MONROE STREET, 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_151795295804569.xml FORM 4 X0306 4 2018-02-02 0 0000849146 Lifevantage Corp LFVN 0001698767 Lewis Darwin 9785 SOUTH MONROE STREET, SUITE 300 SANDY UT 84070 1 0 0 0 Common Stock 2018-02-02 4 A 0 31914 0 A 35414 D These shares were granted to the reporting person pursuant to the issuer's outside director compensation program. The award compensates the reporting person for his service on the Board of Directors from the date of his initial election as a director at the annual meeting of shareholders held on February 16, 2017, through the one year anniversary of his initial election as a director, and will be fully vested on February 16, 2018 subject to his continued service as a director through such date. /s/ Darwin Lewis 2018-02-06