0001445305-13-001737.txt : 20130730 0001445305-13-001737.hdr.sgml : 20130730 20130730122324 ACCESSION NUMBER: 0001445305-13-001737 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20130529 FILED AS OF DATE: 20130730 DATE AS OF CHANGE: 20130730 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: Urban Robert M. CENTRAL INDEX KEY: 0001551128 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35647 FILM NUMBER: 13994857 MAIL ADDRESS: STREET 1: 9815 S. MONROE STREET, SUITE 100 CITY: SANDY STATE: UT ZIP: 84070 4 1 wf-form4_137520139379018.xml FORM 4 X0306 4 2013-05-29 0 0000849146 Lifevantage Corp LFVN 0001551128 Urban Robert M. 9815 S. MONROE STREET SUITE 100 SANDY UT 84070 0 1 0 0 Chief Operating Officer Common Stock 2013-05-29 4 F 0 1365 2.35 D 270735 D The shares were withheld to satisfy tax withholding obligations in connection with the partial vesting of a restricted stock award granted on May 29, 2012. /s/ Rob Cutler, Attorney-in-Fact 2013-07-30