-----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, Re8mAHH+gDy1ipISuL+MrWDBQA31is9CiiMhZSazo/wy6aHokCau9cuyvAHXsDVP 0dKzr6cPKXWn4GzUOM5uNw== 0001209191-11-004614.txt : 20110124 0001209191-11-004614.hdr.sgml : 20110124 20110124163634 ACCESSION NUMBER: 0001209191-11-004614 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110120 FILED AS OF DATE: 20110124 DATE AS OF CHANGE: 20110124 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CRAPO JAMES D CENTRAL INDEX KEY: 0001120570 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-30489 FILM NUMBER: 11544092 MAIL ADDRESS: STREET 1: AEOLUS PHARMACEUTICALS, INC. STREET 2: PO BOX 14287 CITY: RTP STATE: NC ZIP: 27709-4287 4 1 c11362_4x0.xml MAIN DOCUMENT DESCRIPTION X0303 4 2011-01-20 0000849146 Lifevantage Corp LFVN 0001120570 CRAPO JAMES D 11545 W. BERNARDO CT. SUITE 301 SAN DIEGO CA 92127 1 0 0 0 Stock Option (Right to Buy) 0.80 2011-01-20 4 A 0 120000 0 A 2021-01-20 Common Stock 120000 120000 D This option vests and becomes exercisable in full on the date of grant. /s/ James Crapo 2011-01-20 -----END PRIVACY-ENHANCED MESSAGE-----