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