-----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, Kiv3OPP03BGnRK84+P79jJx7QDQxfAqIWNEAwk8tWv/o3R7YwM1gMDOBA3rVKDXc Ts1AUf5PoMeraA9C5Zs1kg== 0001209191-09-023615.txt : 20090430 0001209191-09-023615.hdr.sgml : 20090430 20090430191550 ACCESSION NUMBER: 0001209191-09-023615 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090427 FILED AS OF DATE: 20090430 DATE AS OF CHANGE: 20090430 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Thompson Jack R. CENTRAL INDEX KEY: 0001422155 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-30489 FILM NUMBER: 09786029 MAIL ADDRESS: STREET 1: 6400 FIDDLERS GREEN CIRCLE STREET 2: SUITE 1970 CITY: GREENWOOD VILLAGE STATE: CO 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 2009-04-27 0 0000849146 Lifevantage Corp LFVN 0001422155 Thompson Jack R. 1449 W. LITTLETON BLVD. SUITE 200 LITTLETON CO 80120 1 0 0 0 Common Stock 2009-04-27 4 M 0 15000 0.21 A 934477 D Stock Option (right to buy) 0.21 2009-04-27 4 M 0 15000 0.21 A 2008-07-31 2017-11-13 Common Stock 15000 175000 D /s/Bradford K. Amman as Attorney in fact for Jack R. Thompson 2009-04-30 -----END PRIVACY-ENHANCED MESSAGE-----