0001179110-15-008468.txt : 20150522 0001179110-15-008468.hdr.sgml : 20150522 20150522160303 ACCESSION NUMBER: 0001179110-15-008468 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150520 FILED AS OF DATE: 20150522 DATE AS OF CHANGE: 20150522 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: POELMAN RONALD S CENTRAL INDEX KEY: 0001203350 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35024 FILM NUMBER: 15886585 MAIL ADDRESS: STREET 1: JONES WALDO HOLBROOK & MCDONOUGH STREET 2: 1500 WELLS FARGO BLDG 170 S MAIN ST CITY: SALT LAKE CITY STATE: UT ZIP: 84120 4 1 edgar.xml FORM 4 - X0306 4 2015-05-20 0 0000896264 USANA HEALTH SCIENCES INC USNA 0001203350 POELMAN RONALD S 3838 WEST PARKWAY BLVD SALT LAKE CITY UT 84120 1 0 0 0 Common Stock 2015-05-20 4 M 0 1570 28.16 A 1570 D Common Stock 2015-05-20 4 S 0 1570 131.00 D 0 D Stock-Settled Stock Appreciation Rights 28.16 2015-05-20 4 M 0 2000 0.00 D 2013-07-01 2015-09-30 Common Stock 2000 0 D The shares acquired resulted from the reporting person's settlement of the stock-settled stock appreciation rights disclosed in Table II. James Bramble, as attorney in fact. 2015-05-22