0001181431-13-005362.txt : 20130129
0001181431-13-005362.hdr.sgml : 20130129
20130129160254
ACCESSION NUMBER: 0001181431-13-005362
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20130125
FILED AS OF DATE: 20130129
DATE AS OF CHANGE: 20130129
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Cutler Rob
CENTRAL INDEX KEY: 0001546242
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35647
FILM NUMBER: 13555394
MAIL ADDRESS:
STREET 1: 9815 S. MONROE STREET, SUITE 100
CITY: SANDY
STATE: UT
ZIP: 84070
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
rrd367878.xml
FORM 4 ROB CUTLER
X0306
4
2013-01-25
0
0000849146
Lifevantage Corp
LFVN
0001546242
Cutler Rob
9815 S. MONROE STREET
SUITE 100
SANDY
UT
84070
0
1
0
0
General Counsel
Common Stock
2013-01-25
4
A
0
160000
0.00
A
236829
D
These shares were acquired pursuant to a restricted stock award granted January 25, 2013, which vests in four equal annual installments on each of January 25, 2014, January 25, 2015, January 25, 2016, and January 25, 2017, subject to continued service with the Company.
/s/ Rob Cutler
2013-01-29