-----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, NsnCVoiWud3XKhrew72c7zA5lLkQLY0uIL9nbR00wXD77zRMqHltJVbfs+pmNH/2 +kkISItugspAw+H7p/v1tA== 0001209191-09-021167.txt : 20090409 0001209191-09-021167.hdr.sgml : 20090409 20090409180305 ACCESSION NUMBER: 0001209191-09-021167 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090327 FILED AS OF DATE: 20090409 DATE AS OF CHANGE: 20090409 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Amman Bradford K. CENTRAL INDEX KEY: 0001425339 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-30489 FILM NUMBER: 09743738 MAIL ADDRESS: STREET 1: 6400 S. FIDDLER'S GREEN CIRCLE STREET 2: SUITE 1970 CITY: GREENWOOD VILLAGE STATE: X1 ZIP: 80111 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 X0303 4 2009-03-27 0 0000849146 Lifevantage Corp LFVN 0001425339 Amman Bradford K. 1449 W. LITTLETON BLVD. SUITE 200 LITTLETON CO 80120 0 1 0 0 CFO, Treasurer, Secretary Common Stock 2009-04-07 4 P 0 50000 0.20 A 78614 D Option (right to buy) 0.70 2009-03-27 4 A 0 120000 0.70 A 2009-03-27 2019-03-27 Common Stock 120000 388571 D Warrant (right to buy) 0.50 2009-04-07 4 P 0 50000 0.50 A 2009-04-07 2012-04-07 Common Stock 50000 438571 D Option to purchase 120,000 shares vests and becomes exercisable on March 27, 2010 at an exercise price of $0.70 per share. /s/ Bradford K. Amman 2009-04-09 -----END PRIVACY-ENHANCED MESSAGE-----