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