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