0001181431-12-043410.txt : 20120803 0001181431-12-043410.hdr.sgml : 20120803 20120803110908 ACCESSION NUMBER: 0001181431-12-043410 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120801 FILED AS OF DATE: 20120803 DATE AS OF CHANGE: 20120803 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Colbert David CENTRAL INDEX KEY: 0001495711 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-30489 FILM NUMBER: 121005689 MAIL ADDRESS: STREET 1: 3160 PINEBROOK RD CITY: PARK CITY STATE: UT ZIP: 84098 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 4 1 rrd352257.xml FORM 4 DAVID COLBERT X0306 4 2012-08-01 0 0000849146 Lifevantage Corp LFVN 0001495711 Colbert David 9815 SOUTH MONROE STREET SUITE 100 SANDY UT 84070 0 1 0 0 Chief Financial Officer Common Stock 2012-08-01 4 A 0 82000 0 A 82000 D These shares were acquired pursuant to a restricted stock award granted August 1, 2012, which vests in four equal annual installments on each of August 1, 2013, August 1, 2014, August 1, 2015, and August 1, 2016, subject to continued service with the Company. /s/ Rob Cutler, Attorney-in-Fact 2012-08-03