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