0001181431-12-050965.txt : 20120918
0001181431-12-050965.hdr.sgml : 20120918
20120918131608
ACCESSION NUMBER: 0001181431-12-050965
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120914
FILED AS OF DATE: 20120918
DATE AS OF CHANGE: 20120918
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: BEINDORFF MICHAEL A
CENTRAL INDEX KEY: 0001309611
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35647
FILM NUMBER: 121096701
MAIL ADDRESS:
STREET 1: EXCLUSIVE RESORTS, LLC
STREET 2: 1530 16TH STREET, SUITE 500
CITY: DENVER
STATE: CO
ZIP: 80202
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: 9815 S. MONROE STREET
STREET 2: SUITE 100
CITY: SANDY
STATE: UT
ZIP: 84070
BUSINESS PHONE: 858-312-8000
MAIL ADDRESS:
STREET 1: 9815 S. MONROE STREET
STREET 2: SUITE 100
CITY: SANDY
STATE: UT
ZIP: 84070
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
rrd356305.xml
FORM 4 MICHAEL A. BEINDORFF
X0306
4
2012-09-14
0
0000849146
Lifevantage Corp
LFVN
0001309611
BEINDORFF MICHAEL A
9815 S. MONROE STREET
SUITE 100
SANDY
UT
84070
1
0
0
0
Common Stock
2012-09-14
4
P
0
15000
3.35
A
102000
D
Common Stock
2012-09-14
4
P
0
10000
3.37
A
112000
D
Common Stock
2012-09-14
4
P
0
1500
3.30
A
6500
I
By Spouse
Common Stock
2012-09-14
4
P
0
1500
3.36
A
8000
I
By Spouse
Common Stock
2012-09-14
4
P
0
540
3.35
A
540
I
By Spouse as Cutodian for Minor Child
Common Stock
2012-09-14
4
P
0
160
3.37
A
700
I
By Spouse as Custodian for Minor Child
/s/ Rob Cutler, Attorney-in-Fact for Michael A. Beindorff
2012-09-18