0000849146-20-000015.txt : 20200110
0000849146-20-000015.hdr.sgml : 20200110
20200110142726
ACCESSION NUMBER: 0000849146-20-000015
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200108
FILED AS OF DATE: 20200110
DATE AS OF CHANGE: 20200110
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Fife Steven R
CENTRAL INDEX KEY: 0001408954
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35647
FILM NUMBER: 20520621
MAIL ADDRESS:
STREET 1: C/O LECG 2000 POWELL STREET, STE 600
CITY: EMERYVILLE
STATE: CA
ZIP: 94608
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Lifevantage Corp
CENTRAL INDEX KEY: 0000849146
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 841097796
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0630
BUSINESS ADDRESS:
STREET 1: 9785 S. MONROE STREET
STREET 2: SUITE 300
CITY: SANDY
STATE: UT
ZIP: 84070
BUSINESS PHONE: 801-432-9000
MAIL ADDRESS:
STREET 1: 9785 S. MONROE STREET
STREET 2: SUITE 300
CITY: SANDY
STATE: UT
ZIP: 84070
FORMER COMPANY:
FORMER CONFORMED NAME: LIFELINE THERAPEUTICS, INC.
DATE OF NAME CHANGE: 20041019
FORMER COMPANY:
FORMER CONFORMED NAME: YAAK RIVER RESOURCES INC
DATE OF NAME CHANGE: 19920703
FORMER COMPANY:
FORMER CONFORMED NAME: ANDRAPLEX CORP
DATE OF NAME CHANGE: 19920406
4
1
wf-form4_157868442760645.xml
FORM 4
X0306
4
2020-01-08
0
0000849146
Lifevantage Corp
LFVN
0001408954
Fife Steven R
9785 SOUTH MONROE STREET, SUITE 400
SANDY
UT
84070
0
1
0
0
Chief Financial Officer
Common Stock
2020-01-08
4
F
0
6768
15.54
D
113950
D
These shares were withheld to satisfy tax withholding obligations in connection with the vesting of a stock unit award granted to the reporting person on January 8, 2019.
/s/ Steven R. Fife
2020-01-10