0001144204-15-055464.txt : 20150917 0001144204-15-055464.hdr.sgml : 20150917 20150917161506 ACCESSION NUMBER: 0001144204-15-055464 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150915 FILED AS OF DATE: 20150917 DATE AS OF CHANGE: 20150917 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MEDIFAST INC CENTRAL INDEX KEY: 0000910329 STANDARD INDUSTRIAL CLASSIFICATION: MISCELLANEOUS FOOD PREPARATIONS & KINDRED PRODUCTS [2090] IRS NUMBER: 133714405 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 11445 CRONHILL DRIVE CITY: OWINGS MILLS STATE: MD ZIP: 21117 BUSINESS PHONE: 7327640619 MAIL ADDRESS: STREET 1: 11445 CRONHILL DRIVE CITY: OWINGS MILLS STATE: MD ZIP: 21117 FORMER COMPANY: FORMER CONFORMED NAME: HEALTHRITE INC DATE OF NAME CHANGE: 19951120 FORMER COMPANY: FORMER CONFORMED NAME: XX DATE OF NAME CHANGE: 19950619 FORMER COMPANY: FORMER CONFORMED NAME: 00 DATE OF NAME CHANGE: 19950619 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BROWN JEFFREY J CENTRAL INDEX KEY: 0001245377 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-31573 FILM NUMBER: 151112387 MAIL ADDRESS: STREET 1: 19900 MACARTHUR BLVD STREET 2: SUITE 570 CITY: IRVINE STATE: CA ZIP: 92612 4 1 v420481_4.xml OWNERSHIP DOCUMENT X0306 4 2015-09-15 0 0000910329 MEDIFAST INC MED 0001245377 BROWN JEFFREY J C/O MEDIFAST, INC. 3600 CRONDALL LANE OWINGS MILLS MD 21117 1 0 0 0 Common Stock 2015-09-15 4 A 0 675 0.00 A 675 D Stock Option 28.59 2015-09-15 4 A 0 2500 0 A 2025-02-17 Common Stock 2500 2500 D These shares were issued to the reporting person under the 2012 Share Incentive Plan and will vest on 1/1/2017. These retention stock options, which were issued to the reporting person under the 2012 Share Incentive Plan, will vest in three equal annual installments beginning on 2/17/2016. /s/ Jason L. Groves, Esq., attorney-in-fact 2015-09-17