0001181431-13-028163.txt : 20130516
0001181431-13-028163.hdr.sgml : 20130516
20130516105317
ACCESSION NUMBER: 0001181431-13-028163
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20130514
FILED AS OF DATE: 20130516
DATE AS OF CHANGE: 20130516
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: OKUMOTO RICHARD Y
CENTRAL INDEX KEY: 0001226754
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35647
FILM NUMBER: 13849910
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: 801-432-9000
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
rrd379861.xml
FORM 4 RICHARD Y. OKUMOTO
X0306
4
2013-05-14
0
0000849146
Lifevantage Corp
LFVN
0001226754
OKUMOTO RICHARD Y
9815 S. MONROE STREET
SUITE 100
SANDY
UT
84070
1
0
0
0
Common Stock
2013-05-14
4
P
0
50000
2.44
A
100000
D
/s/ Rob Cutler, Attorney-in-Fact
2013-05-16