0001144204-13-015074.txt : 20130314 0001144204-13-015074.hdr.sgml : 20130314 20130314161302 ACCESSION NUMBER: 0001144204-13-015074 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121231 FILED AS OF DATE: 20130314 DATE AS OF CHANGE: 20130314 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LAVIN GEORGE CENTRAL INDEX KEY: 0001460671 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-31573 FILM NUMBER: 13690632 MAIL ADDRESS: STREET 1: 151 SHAWNEE ROAD CITY: ARDMORE STATE: PA ZIP: 19003 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 5 1 v337799_5.xml OWNERSHIP DOCUMENT X0306 5 2012-12-31 0 0 1 0000910329 MEDIFAST INC MED 0001460671 LAVIN GEORGE C/O MEDIFAST, INC. 11445 CRONHILL DR. OWINGS MILLS MD 21117 1 0 0 0 Common Stock 2011-11-18 4 S 0 L 2000 14.08 D 21959 D Common Stock 2012-03-31 4 A 0 L 1932 17.46 A 23891 D Reflects correction to amount of securities beneficially owned by the reporting person on the Form 4 filed on March 2, 2012. /s/ George Lavin 2013-03-14