0000849146-21-000056.txt : 20210623
0000849146-21-000056.hdr.sgml : 20210623
20210623121143
ACCESSION NUMBER: 0000849146-21-000056
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210622
FILED AS OF DATE: 20210623
DATE AS OF CHANGE: 20210623
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Cooley Matthew
CENTRAL INDEX KEY: 0001866253
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35647
FILM NUMBER: 211037738
MAIL ADDRESS:
STREET 1: 3300 TRIUMPH BLVD, SUITE 700
CITY: LEHI
STATE: UT
ZIP: 84043
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: 3300 TRIUMPH BLVD
STREET 2: SUITE 700
CITY: LEHI
STATE: UT
ZIP: 84043
BUSINESS PHONE: 801-432-9000
MAIL ADDRESS:
STREET 1: 3300 TRIUMPH BLVD
STREET 2: SUITE 700
CITY: LEHI
STATE: UT
ZIP: 84043
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
3
1
wf-form3_162446468884246.xml
FORM 3
X0206
3
2021-06-22
0
0000849146
Lifevantage Corp
LFVN
0001866253
Cooley Matthew
3300 TRIUMPH BLVD, SUITE 700
LEHI
UT
84043
0
1
0
0
Chief Operating Officer
Common Stock
30000
D
These restricted stock units ("RSUs") were acquired pursuant to a restricted stock award granted May 24, 2021, which vests in three equal annual installments on each of May 24, 2022, May 24, 2023, and May 24, 2024, subject to continued service with the Company. These RSUs expire on May 24, 2031.
/s/ Matthew Cooley
2021-06-22