0001181431-12-002765.txt : 20120117
0001181431-12-002765.hdr.sgml : 20120116
20120117184935
ACCESSION NUMBER: 0001181431-12-002765
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120110
FILED AS OF DATE: 20120117
DATE AS OF CHANGE: 20120117
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Metzger George
CENTRAL INDEX KEY: 0001539711
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-30489
FILM NUMBER: 12530622
MAIL ADDRESS:
STREET 1: C/O LIFEVANTAGE CORPORATION
STREET 2: 9815 SOUTH MONROE ST., SUITE 100
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: CO
FISCAL YEAR END: 0630
BUSINESS ADDRESS:
STREET 1: 10813 S. RIVER FRONT PARKWAY
STREET 2: STE. 500
CITY: SOUTH JORDAN
STATE: UT
ZIP: 84095
BUSINESS PHONE: 858-312-8000
MAIL ADDRESS:
STREET 1: 10813 S. RIVER FRONT PARKWAY
STREET 2: STE. 500
CITY: SOUTH JORDAN
STATE: UT
ZIP: 84095
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
3
1
rrd330904.xml
FORM 3- METZGER 1-10-2012
X0204
3
2012-01-10
1
0000849146
Lifevantage Corp
LFVN
0001539711
Metzger George
9815 S. MONROE STREET
SANDY
UT
84070
1
0
0
0
/s/ George Metzger
2012-01-17