0000849146-20-000139.txt : 20200908
0000849146-20-000139.hdr.sgml : 20200908
20200908162907
ACCESSION NUMBER: 0000849146-20-000139
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200903
FILED AS OF DATE: 20200908
DATE AS OF CHANGE: 20200908
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Rose Justin
CENTRAL INDEX KEY: 0001649432
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35647
FILM NUMBER: 201164447
MAIL ADDRESS:
STREET 1: C/O LIFEVANTAGE CORPORATION
STREET 2: 9785 S. MONROE ST. 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_159959692892191.xml
FORM 4
X0306
4
2020-09-03
0
0000849146
Lifevantage Corp
LFVN
0001649432
Rose Justin
9785 SOUTH MONROE STREET, SUITE 400
SANDY
UT
84070
0
1
0
0
Chief Sales Officer
Common Stock
2020-09-03
4
A
0
16880
0
A
153675
D
This reflects a stock unit award, in which each stock unit represents a right to receive one share of issuer common stock, which award will vest over a three year period, subject to the reporting person's continued service with the issuer, as follows: (i) 1/3 of the total number of units will vest on the first anniversary of the grant date and (ii) the remaining units will vest in equal installments as of the first day of each calendar quarter thereafter.
/s/ Justin Rose
2020-09-08