0001179110-12-002556.txt : 20120214 0001179110-12-002556.hdr.sgml : 20120214 20120214175018 ACCESSION NUMBER: 0001179110-12-002556 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111231 FILED AS OF DATE: 20120214 DATE AS OF CHANGE: 20120214 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WENTZ DAVE CENTRAL INDEX KEY: 0001203343 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35024 FILM NUMBER: 12613197 MAIL ADDRESS: STREET 1: 308 W 300 STREET 2: S #203 CITY: SALT LAKE CITY STATE: UT ZIP: 84101 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: USANA HEALTH SCIENCES INC CENTRAL INDEX KEY: 0000896264 STANDARD INDUSTRIAL CLASSIFICATION: MEDICINAL CHEMICALS & BOTANICAL PRODUCTS [2833] IRS NUMBER: 870500306 STATE OF INCORPORATION: UT FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 3838 WEST PARKWAY BLVD. CITY: SALT LAKE CITY STATE: UT ZIP: 84120-6336 BUSINESS PHONE: 8019547100 MAIL ADDRESS: STREET 1: 3838 WEST PARKWAY BLVD. STREET 2: 3838 WEST PARKWAY BLVD. CITY: SALT LAKE CITY STATE: UT ZIP: 84120-6336 FORMER COMPANY: FORMER CONFORMED NAME: USANA INC DATE OF NAME CHANGE: 19930125 5 1 edgar.xml FORM 5 - X0304 5 2011-12-31 0 0 0 0000896264 USANA HEALTH SCIENCES INC USNA 0001203343 WENTZ DAVE 3838 WEST PARKWAY BLVD SALT LAKE CITY UT 84120 0 1 0 0 C.E.O. Common Stock 9838 I 401k Between January 1, 2011 and December 31, 2011, the reporting person acquired 177 shares of USANA common stock in transactions pursuant to the issuer's 401(k) plan. James Bramble, as attorney in fact 2012-02-14