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