0001181431-12-059104.txt : 20121116
0001181431-12-059104.hdr.sgml : 20121116
20121116163816
ACCESSION NUMBER: 0001181431-12-059104
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20121114
FILED AS OF DATE: 20121116
DATE AS OF CHANGE: 20121116
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: SPEDDEN ELWOOD
CENTRAL INDEX KEY: 0001218748
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35647
FILM NUMBER: 121212076
MAIL ADDRESS:
STREET 1: 17 GREAT OAKS BL
CITY: SAN JOSE
STATE: CA
ZIP: 95119
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
rrd359170.xml
FORM 4 ELWOOD SPEDDEN
X0306
4
2012-11-14
0
0000849146
Lifevantage Corp
LFVN
0001218748
SPEDDEN ELWOOD
9815 S. MONROE STREET
SUITE 100
SANDY
UT
84070
1
0
0
0
Common Stock
2012-11-14
4
A
0
25000
0
A
25000
D
Stock Option (Right to Buy)
1.33
2022-01-09
Common Stock
100000
100000
D
These shares were acquired pursuant to a restricted stock award granted November 14, 2012, which vests in full in a single vesting increment on the date of the Company's next annual meeting of shareholders, subject to continued service with the Company.
This option vests and becomes exercisable as to 1/12 of the shares subject to this option in monthly installments beginning on February 10, 2012, with the final vesting occurring on the date of the Company's next annual meeting of shareholders.
/s/ Rob Cutler, Attorney-in-Fact
2012-11-16