0001144204-16-079631.txt : 20160208
0001144204-16-079631.hdr.sgml : 20160208
20160208175153
ACCESSION NUMBER: 0001144204-16-079631
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160204
FILED AS OF DATE: 20160208
DATE AS OF CHANGE: 20160208
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: 161396615
MAIL ADDRESS:
STREET 1: 19900 MACARTHUR BLVD
STREET 2: SUITE 570
CITY: IRVINE
STATE: CA
ZIP: 92612
4
1
v430886.xml
OWNERSHIP DOCUMENT
X0306
4
2016-02-04
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
2016-02-04
4
A
0
2579
0.00
A
3254
D
Stock Option
27.68
2016-02-04
4
A
0
5000
0
A
2026-02-04
Common Stock
5000
7500
D
These shares were issued to the reporting person under the 2012 Share Incentive Plan and will vest on 1/1/2018.
These retention stock options, which were issued to the reporting person under the 2012 Share Incentive Plan, will vest in three equal installments beginning on 2/4/2017.
/s/ Timothy G. Robinson, attorney-in-fact
2016-02-08