0000849146-23-000056.txt : 20230512
0000849146-23-000056.hdr.sgml : 20230512
20230512161156
ACCESSION NUMBER: 0000849146-23-000056
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230510
FILED AS OF DATE: 20230512
DATE AS OF CHANGE: 20230512
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Mauro Garry Paul
CENTRAL INDEX KEY: 0001436020
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35647
FILM NUMBER: 23915789
MAIL ADDRESS:
STREET 1: 6400 S. FIDDLER'S GREEN CIRCLE
STREET 2: SUITE 1970
CITY: GREENWOOD VILLAGE
STATE: X1
ZIP: 80111
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_168392229927656.xml
FORM 4
X0407
4
2023-05-10
0
0000849146
Lifevantage Corp
LFVN
0001436020
Mauro Garry Paul
3300 TRIUMPH BLVD, SUITE 700
LEHI
UT
84043
1
0
0
0
0
Common Stock
2023-05-10
4
P
0
3650
4.0799
A
63614
D
Common Stock
2023-05-12
4
P
0
150
4.2074
A
63764
D
Common Stock
2023-05-10
4
P
0
170
4.0799
A
25170
I
By The Francesco A. Mauro Trust of 2021
Common Stock
2023-05-10
4
P
0
170
4.0799
A
25170
I
By The Andrew H. Mauro Trust of 2021
Common Stock
2023-05-10
4
P
0
170
4.0799
A
25170
I
By The Dominic C. Mauro Trust of 2021
Common Stock
2023-05-10
4
P
0
170
4.0799
A
25170
I
By The David W.B. Mauro Trust of 2021
Common Stock
2023-05-10
4
P
0
170
4.0799
A
25170
I
By The Alexandra P. Mauro Trust of 2021
Alissa Neufeld, Power of Attorney for Garry P. Mauro
2023-05-12