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