0000849146-18-000122.txt : 20181130 0000849146-18-000122.hdr.sgml : 20181130 20181130162039 ACCESSION NUMBER: 0000849146-18-000122 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20181130 FILED AS OF DATE: 20181130 DATE AS OF CHANGE: 20181130 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Greer Raymond B CENTRAL INDEX KEY: 0001332013 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35647 FILM NUMBER: 181211439 MAIL ADDRESS: STREET 1: 1515 WEST 20TH STREET STREET 2: P.O. BOX 612787 CITY: DFW INTERNATIONAL AIRPORT STATE: TX ZIP: 75261 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Lifevantage Corp CENTRAL INDEX KEY: 0000849146 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 841097796 STATE OF INCORPORATION: DE 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_154361282138413.xml FORM 4 X0306 4 2018-11-30 0 0000849146 Lifevantage Corp LFVN 0001332013 Greer Raymond B 9785 SOUTH MONROE STREET, SUITE 400 SANDY UT 84070 1 0 0 0 Common Stock 2018-11-30 4 P 0 1500 13.22 A 40028 D /s/ Raymond B. Greer 2018-11-30