0000849146-22-000018.txt : 20220217 0000849146-22-000018.hdr.sgml : 20220217 20220217162854 ACCESSION NUMBER: 0000849146-22-000018 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220217 FILED AS OF DATE: 20220217 DATE AS OF CHANGE: 20220217 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Latham Cynthia CENTRAL INDEX KEY: 0001910316 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35647 FILM NUMBER: 22648540 MAIL ADDRESS: STREET 1: 3300 N. TRIUMPH BLVD., SUITE 700 CITY: LEHI STATE: UT ZIP: 84043 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: 3300 TRIUMPH BLVD STREET 2: SUITE 700 CITY: LEHI STATE: UT ZIP: 84043 BUSINESS PHONE: 801-432-9000 MAIL ADDRESS: STREET 1: 3300 TRIUMPH BLVD STREET 2: SUITE 700 CITY: LEHI STATE: UT ZIP: 84043 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_164513331822279.xml FORM 4 X0306 4 2022-02-17 0 0000849146 Lifevantage Corp LFVN 0001910316 Latham Cynthia 3300 TRIUMPH BLVD, SUITE 700 LEHI UT 84043 1 0 0 0 Common Stock 2022-02-17 4 A 0 11364 5.41 A 11364 D These shares were granted to the reporting person pursuant to the issuer's outside director compensation program and will vest in a single installment on February 17, 2023, subject to continued service through such date. Alissa Neufeld, Power of Attorney for Cynthia Latham 2022-02-17