9999999997-12-013404.txt : 20120912 9999999997-12-013404.hdr.sgml : 20120912 20120912085736 ACCESSION NUMBER: 9999999997-12-013404 CONFORMED SUBMISSION TYPE: CERTNAS PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20120911 DATE AS OF CHANGE: 20120912 EFFECTIVENESS DATE: 20120911 FILER: 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 FILING VALUES: FORM TYPE: CERTNAS SEC ACT: 1934 Act SEC FILE NUMBER: 001-35647 FILM NUMBER: 12028125 BUSINESS ADDRESS: STREET 1: 9815 S. MONROE STREET STREET 2: SUITE 100 CITY: SANDY STATE: UT ZIP: 84070 BUSINESS PHONE: 858-312-8000 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 CERTNAS 1 9999999997-12-013404.paper AUTO-GENERATED PAPER DOCUMENT This document was generated as part of a paper submission. Please reference the Document Control Number 12028125 for access to the original document.