-----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, G8Y9nVbkLNdkbh0HgOMCGfK1gRBvwszFU5olCQQfiSGZUD64h92nelChawwpgU/w h7GqmXowCtZP2N/JrsJXTg== 0001209191-09-021175.txt : 20090409 0001209191-09-021175.hdr.sgml : 20090409 20090409180746 ACCESSION NUMBER: 0001209191-09-021175 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090107 FILED AS OF DATE: 20090409 DATE AS OF CHANGE: 20090409 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Mauro Garry Paul CENTRAL INDEX KEY: 0001436020 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-30489 FILM NUMBER: 09743758 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 2009-01-07 0 0000849146 Lifevantage Corp LFVN 0001436020 Mauro Garry Paul 1449 W. LITTLETON BLVD. SUITE 200 LITTLETON CO 80120 1 0 0 0 Common Stock 2009-03-11 4 P 0 150000 0.20 A 150000 D Stock Option (right to buy) 0.21 2009-01-07 4 A 0 120000 0.21 A 2009-01-31 2019-01-07 Common Stock 120000 220000 D Stock Warrant (right to buy) 0.50 2009-03-11 4 P 0 150000 0.50 A 2009-03-11 2012-03-11 Common Stock 150000 370000 D Option to purchase 120,000 shares of common stock will vest and become exercizable at a rate of 1/12 or 10,000 shares per month on the last day of each calendar month, beginning January 31, 2009 through December 31, 2009 at an exercise price of $0.21 per share. /s/ Garry P. Mauro 2009-04-09 -----END PRIVACY-ENHANCED MESSAGE-----