0001144204-16-079623.txt : 20160208
0001144204-16-079623.hdr.sgml : 20160208
20160208174715
ACCESSION NUMBER: 0001144204-16-079623
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: AMELI MEHRNAZ MONA
CENTRAL INDEX KEY: 0001625720
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-31573
FILM NUMBER: 161396601
MAIL ADDRESS:
STREET 1: 3600 CRONDALL LANE
CITY: OWINGS MILLS
STATE: MD
ZIP: 21117
4
1
v430878_4.xml
OWNERSHIP DOCUMENT
X0306
4
2016-02-04
0
0000910329
MEDIFAST INC
MED
0001625720
AMELI MEHRNAZ MONA
C/O MEDIFAST, INC.
3600 CRONDALL LANE
OWINGS MILLS
MD
21117
0
1
0
0
President, Take Shape For Life
Common Stock
2016-02-04
4
A
0
1431
0.00
A
5831
D
These retention stock options, which were issued to the reporting person under the 2012 Share Incentive Plan will vest annually in equal installments over a period of three years, beginning on the first anniversary of the grant date.
/s/ Timothy G. Robinson, attorney-in-fact
2016-02-08