0000849146-19-000094.txt : 20191122
0000849146-19-000094.hdr.sgml : 20191122
20191122134906
ACCESSION NUMBER: 0000849146-19-000094
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20191115
FILED AS OF DATE: 20191122
DATE AS OF CHANGE: 20191122
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Wach Charles J.
CENTRAL INDEX KEY: 0001701034
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35647
FILM NUMBER: 191240368
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: 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_157444853064818.xml
FORM 4
X0306
4
2019-11-15
0
0000849146
Lifevantage Corp
LFVN
0001701034
Wach Charles J.
9785 SOUTH MONROE STREET, SUITE 400
SANDY
UT
84070
0
1
0
0
Chief Operating Officer
Common Stock
2019-11-15
4
M
0
4904
0
A
30890
D
Common Stock
2019-11-15
4
F
0
3754
14.17
D
28829
D
Performance Stock Units
2019-11-15
4
M
0
4904
0
D
Common Stock
4904.0
2371
D
On November 15, 2018, the reporting person was granted Performance Stock Units ("PSUs"). The performance units will vest only to the extent the specified financial performance criteria are achieved and subject to the reporting person's continued service with the issuer, as follows: (i) 5/12ths of the earned award will vest on the first anniversary of the grant date and (ii) an additional 1/12 of the earned award will vest as of the first day of each calendar quarter thereafter. Each performance unit award represents a right to receive one share of issuer common stock, with the total number of units reflecting the number that are eligible to be earned at target-level performance achievement. Upon achievement of the maximum level of the applicable performance criteria, the reporting person may become eligible to earn 200% of the target number of units. The actual number of shares distributed was 162% of the target number of PSUs.
PSUs convert into common stock on a one-for-one basis.
These shares were withheld to satisfy tax withholding obligations in connection with the vesting of a PSU award and an RSU award granted on November 15, 2018.
Includes 1,693 shares purchased under the Employee Stock Purchase Plan on August 30, 2019.
/s/ Charles J. Wach
2019-11-22