0000849146-23-000117.txt : 20230907
0000849146-23-000117.hdr.sgml : 20230907
20230907160657
ACCESSION NUMBER: 0000849146-23-000117
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230905
FILED AS OF DATE: 20230907
DATE AS OF CHANGE: 20230907
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: 231242309
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
wk-form4_1694117209.xml
FORM 4
X0508
4
2023-09-05
0
0000849146
Lifevantage Corp
LFVN
0001436020
Mauro Garry Paul
3300 TRIUMPH BLVD, SUITE 700
LEHI
UT
84043
1
0
0
0
0
Common Stock
2023-09-05
4
P
0
425
7.632
A
64189
D
Common Stock
2023-09-05
4
P
0
110
7.632
A
25280
I
By The Francesco A. Mauro Trust of 2021
Common Stock
2023-09-05
4
P
0
110
7.632
A
25280
I
By The Andrew H. Mauro Trust of 2021
Common Stock
2023-09-05
4
P
0
110
7.632
A
25280
I
By The David W.B. Mauro Trust of 2021
Common Stock
2023-09-05
4
P
0
110
7.632
A
25280
I
By The Dominic C. Mauro Trust of 2021
Common Stock
2023-09-05
4
P
0
110
7.632
A
25280
I
By The Alexandra P. Mauro Trust of 2021
Common Stock
2023-09-05
4
P
0
25
7.632
A
25
I
By Garry Paul Mauro SEP IRA
Alissa Neufeld, Power of Attorney for Garry P. Mauro
2023-09-07