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