0001445305-13-001542.txt : 20130625 0001445305-13-001542.hdr.sgml : 20130625 20130625155920 ACCESSION NUMBER: 0001445305-13-001542 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20130624 FILED AS OF DATE: 20130625 DATE AS OF CHANGE: 20130625 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: 9815 S. MONROE STREET STREET 2: SUITE 100 CITY: SANDY STATE: UT ZIP: 84070 BUSINESS PHONE: 801-432-9000 MAIL ADDRESS: STREET 1: 9815 S. MONROE STREET STREET 2: SUITE 100 CITY: SANDY STATE: UT ZIP: 84070 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: Colbert David CENTRAL INDEX KEY: 0001495711 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35647 FILM NUMBER: 13932118 MAIL ADDRESS: STREET 1: 3160 PINEBROOK RD CITY: PARK CITY STATE: UT ZIP: 84098 4 1 wf-form4_137219034931081.xml FORM 4 X0306 4 2013-06-24 0 0000849146 Lifevantage Corp LFVN 0001495711 Colbert David 9815 SOUTH MONROE STREET SUITE 100 SANDY UT 84070 0 1 0 0 Chief Financial Officer Common Stock 2013-06-24 4 A 0 140000 0 A 222000 D These shares were acquired pursuant to a restricted stock award granted June 24, 2013, which vests in four equal annual installments on each of June 24, 2014, June 24, 2015, June 24, 2016, and June 24, 2017, subject to continued service with the Company. /s/ Rob Cutler, Attorney-in-Fact 2013-06-24