-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, C0hdvYD3f7JzWynQQWW5GphlW9Y1/o5gmL4GX2D5BQ+9uKlkV6vRpL/6EA10uX1j 9o+7lA8MjUdpYygbIzSU4w== 0001203301-03-000011.txt : 20031107 0001203301-03-000011.hdr.sgml : 20031107 20031107163632 ACCESSION NUMBER: 0001203301-03-000011 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031105 FILED AS OF DATE: 20031107 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WENTZ MYRON W CENTRAL INDEX KEY: 0001203301 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-21116 FILM NUMBER: 03985655 MAIL ADDRESS: STREET 1: 3838 W PARKWAY BLVD CITY: SALT LAKE CITY STATE: UT ZIP: 84120 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 4 1 c0001203301d20031107f4s1f.xml PRIMARY DOCUMENT X0201 42003-11-0500000896264USANA HEALTH SCIENCES INC USNA0001203301WENTZ MYRON W3838 WEST PARKWAY BLVDSALT LAKE CITYUT841201110CEOCommon Stock2003-11-054S04750038.64D8280464IShares owned of record by Gull HoldingsCommon Stock2003-11-064S02500038.6D8255464IShares owned of record by Gull HoldingsCommon Stock2003-11-074S01250038.66D8242964IShares owned of re cord by Gull HoldingsShares held were automatically increased to reflect the effect of the forward 2-for-1 stock split effective October 31, 2003Gilbert A. Fuller, as attorney in fact2003-11-07 -----END PRIVACY-ENHANCED MESSAGE-----