-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, UJD3JOlLVKEoMo8ItM9wbgHnwJYP5FG7FoaUN9P+xMC/87W7TAVDPPJdbhtMUPnw s4zjvhRmG9fp1EFqcPHN8w== 0001209191-06-067246.txt : 20061228 0001209191-06-067246.hdr.sgml : 20061228 20061228161255 ACCESSION NUMBER: 0001209191-06-067246 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20061221 FILED AS OF DATE: 20061228 DATE AS OF CHANGE: 20061228 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Krejci James CENTRAL INDEX KEY: 0001325414 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-30489 FILM NUMBER: 061303058 BUSINESS ADDRESS: BUSINESS PHONE: 303-377-9774 MAIL ADDRESS: STREET 1: 1133 RACE STREET, 16N CITY: DENVER STATE: CO ZIP: 80206 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: 6400 SOUTH FIDDLER STREET 2: SUITE 1750 CITY: ENGLEWOOD STATE: CO ZIP: 80111 BUSINESS PHONE: 720-488-1711 MAIL ADDRESS: STREET 1: 6400 SOUTH FIDDLER STREET 2: SUITE 1750 CITY: ENGLEWOOD STATE: CO ZIP: 80111 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 doc4.xml FORM 4 SUBMISSION X0202 4 2006-12-21 0 0000849146 Lifevantage Corp LFLT 0001325414 Krejci James 6400 S. FIDDLER'S GREEN CIRCLE SUITE 1970 GREENWOOD VILLAGE CO 80111 1 1 0 0 CEO Stock Option (right to buy) 0.61 2006-12-21 4 A 0 1000000 0.00 A 2016-12-21 Common Stock 1000000 1000000 D The option is vested as to 250,000 shares on the date of grant. With respect to the remaining 750,000 shares underlying the option, the option will vest with respect to 250,000 shares on each of December 21, 2007, December 21, 2008, and December 21, 2009. James J. Krejci 2006-12-28 -----END PRIVACY-ENHANCED MESSAGE-----