-----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, Dlyci+ytxrYa2m0FhOJaVg/lyp62bmuMh6QOq8QgFiqQerI9IcEExH7xLw/TOvk7 WP8GviOmdQHrRZC21c9b+g== 0001209191-10-005158.txt : 20100127 0001209191-10-005158.hdr.sgml : 20100127 20100127185354 ACCESSION NUMBER: 0001209191-10-005158 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20100125 FILED AS OF DATE: 20100127 DATE AS OF CHANGE: 20100127 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Lu C. Mike CENTRAL INDEX KEY: 0001481765 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-30489 FILM NUMBER: 10551649 MAIL ADDRESS: STREET 1: C/O LIFEVANTAGE CORPORATION STREET 2: 11545 W. BERNARDO CT., SUITE 301 CITY: SAN DIEGO STATE: CA ZIP: 92127 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: 11545 WEST BERNARDO COURT STREET 2: SUITE 301 CITY: SAN DIEGO STATE: CA ZIP: 92127 BUSINESS PHONE: 858-312-8000 MAIL ADDRESS: STREET 1: 11545 WEST BERNARDO COURT STREET 2: SUITE 301 CITY: SAN DIEGO STATE: CA ZIP: 92127 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 3 1 c95091_3x0.xml MAIN DOCUMENT DESCRIPTION X0203 3 2010-01-25 0 0000849146 Lifevantage Corp LFVN 0001481765 Lu C. Mike 11545 W. BERNARDO CT., SUITE 301 SAN DIEGO CA 92127 1 0 0 0 Common Stock 550000 D Warrants (right to buy) 0.50 2009-06-30 2012-06-30 Common Stock 57000 D /s/ Mike Lu 2010-01-25 -----END PRIVACY-ENHANCED MESSAGE-----