0000849146-20-000186.txt : 20201207 0000849146-20-000186.hdr.sgml : 20201207 20201207155209 ACCESSION NUMBER: 0000849146-20-000186 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20201205 FILED AS OF DATE: 20201207 DATE AS OF CHANGE: 20201207 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Fife Steven R CENTRAL INDEX KEY: 0001408954 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35647 FILM NUMBER: 201372681 MAIL ADDRESS: STREET 1: C/O LECG 2000 POWELL STREET, STE 600 CITY: EMERYVILLE STATE: CA ZIP: 94608 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_160737431336981.xml FORM 4 X0306 4 2020-12-05 0 0000849146 Lifevantage Corp LFVN 0001408954 Fife Steven R 9785 SOUTH MONROE STREET, SUITE 400 SANDY UT 84070 0 1 0 0 CFO and Interim CEO Common Stock 2020-12-05 4 M 0 3291 0 A 156508 D Common Stock 2020-12-05 4 F 0 3636 11 D 152872 D Performance Restricted Stock Units 2020-12-05 4 M 0 3291 0 D Common Stock 3291.0 4611 D On December 5, 2019 the reporting person was granted PSUs which vest only to the extent specified financial performance criteria are achieved and subject to the reporting person's continued service with the issuer, as follows: (i) 5/12 of the earned award vested on the first anniversary of the grant date and (ii) an additional 1/12 of the earned award will vest on the first day of each calendar quarter thereafter. The reporting person initially reported the number of shares that were eligible to be earned at target-level performance achievement. The performance criteria were achieved at a level below target; accordingly, the reporting person is eligible to earn 50.99% of the target number of units. The actual number of shares that vested on the reported transaction date was 50.99% of the at-target number of shares subject to vesting on that date and the number of PSUs beneficially owned following the reported transaction has been updated to reflect 50.99% of the target number of units. Performance Stock Units ("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 December 5, 2019. /s/ Steven R. Fife 2020-12-07