0000849146-19-000047.txt : 20190507
0000849146-19-000047.hdr.sgml : 20190507
20190507165448
ACCESSION NUMBER: 0000849146-19-000047
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190504
FILED AS OF DATE: 20190507
DATE AS OF CHANGE: 20190507
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Brockovich Erin
CENTRAL INDEX KEY: 0001324073
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35647
FILM NUMBER: 19803920
MAIL ADDRESS:
STREET 1: 5125 LANKERSHIM BOULEVARD
CITY: NORTH HOLLYWOOD
STATE: CA
ZIP: 91601
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
3
1
wf-form3_155726247346398.xml
FORM 3
X0206
3
2019-05-04
1
0000849146
Lifevantage Corp
LFVN
0001324073
Brockovich Erin
9785 SOUTH MONROE STREET
SUITE 400
SANDY
UT
84070
1
0
0
0
/s/ Erin Brockovich
2019-05-07