0000849146-23-000200.txt : 20231108
0000849146-23-000200.hdr.sgml : 20231108
20231108202543
ACCESSION NUMBER: 0000849146-23-000200
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20231106
FILED AS OF DATE: 20231108
DATE AS OF CHANGE: 20231108
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: 231389705
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: 900224471
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
4
1
wk-form4_1699493129.xml
FORM 4
X0508
4
2023-11-06
0
0000849146
Lifevantage Corp
LFVN
0001408954
Fife Steven R
3300 NORTH TRIUMPH BLVD #700
LEHI
UT
84043
1
1
0
0
President and CEO
0
Common Stock
2023-11-06
4
D
0
199222
0
D
348540
D
Common Stock
2023-11-06
4
A
0
38311
0
A
386851
D
Common Stock
2023-11-06
4
A
0
9715
0
A
396566
D
Common Stock
2023-11-06
4
A
0
68006
0
A
464572
D
Common Stock
2023-11-06
4
A
0
9700
0
A
474272
D
Common Stock
2023-11-06
4
A
0
151196
0
A
625468
D
Performance Stock Units
2023-11-06
4
D
0
68006
0
D
Common Stock
68006
51004
D
Performance Stock Units
2023-11-06
4
D
0
9700
0
D
Common Stock
9700
29100
D
Performance Stock Units
Common Stock
151196
151196
D
This amount reflects the aggregate number of stock units cancelled in exchange for the grant of shares of restricted stock as described in footnotes 3, 5, and 9 of this Form 4.
These shares of restricted stock were acquired pursuant to a restricted stock award, which award shall vest, subject to the reporting person's continued service with the Issuer, as follows: (i) 1/3 of the total shares shall vest on each of January 1, 2025, April 1, 2025, and July 1, 2025.
These shares of restricted stock were granted in exchange for the cancellation of 38,311 stock units, which were granted to the reporting person on August 18, 2022, as reported in the Form 4 filed by the reporting person on August 22, 2022.
These shares of restricted stock were acquired pursuant to a restricted stock award, which award shall vest, subject to the reporting person's continued service with the Issuer, as follows: (i) 1/4 of the total shares shall vest on each of November 6, 2024 , January 1, 2025, April 1, 2025, and July 1, 2025.
These shares of restricted stock were granted in exchange for the cancellation of 9,715 stock units, which were granted to the reporting person on November 10, 2022, as reported in the Form 4 filed by the reporting person on November 15, 2022.
These shares of restricted stock were granted in exchange for the cancellation of 68,006 performance restricted stock units ("PSUs") granted to the reporting person on August 18, 2022, as reported in the Form 4 filed by the reporting person on August 22, 2022.
These shares of restricted stock were granted in exchange for the cancellation of 9,700 PSUs granted to the reporting person on November 10, 2022, as reported in the Form 4 filed by the reporting person on November 15, 2022.
These shares of restricted stock were acquired pursuant to a restricted stock award, which award shall vest, subject to the reporting person's continued service with the Issuer, as follows: (i) 62,998 shares shall vest on November 6, 2024, and (ii) 1/12 of the total number of shares shall vest on the first day of each of the seven calendar quarters thereafter.
These shares of restricted stock were received in exchange for the cancellation of 151,196 stock units granted to the reporting person on August 24, 2023, as reported in the Form 4 filed by the reporting person on August 28, 2023.
PSUs each represent a right to receive one share of Issuer common stock.
These PSUs were cancelled on November 6, 2023 in exchange for the grant of new shares of restricted stock, as described in footnote 6 of this Form 4.
On August 18, 2022, the reporting person was granted PSUs, which vest as described in the Form 4 filed by the reporting person on August 22, 2022. The reporting person initially reported the number of shares that were eligible to be earned at target-level performance achievement. The performance criteria were achieved at a level above target; accordingly, the reporting person is eligible to earn 133.13% of the target number of stock units. The number of PSUs beneficially owned following this reported transaction has been updated to reflect the new number of stock units the reporting person is eligible to earn.
These PSUs were cancelled on November 6, 2023 in exchange for the grant of new shares of restricted stock, as described in footnote 7 of this Form 4.
On November 10, 2022, the reporting person was granted PSUs which vest as described in the Form 4 filed by the reporting person on November 15, 2022. The reporting person initially reported the number of shares that were eligible to be earned at target-level performance achievement. The performance criteria were achieved at a level above target; accordingly, the reporting person is eligible to earn 133.13% of the target number of stock units. The number of PSUs beneficially owned following this reported transaction has been updated to reflect the new number of stock units the reporting person is eligible to earn.
On August 24, 2023, the reporting person was granted 151,196 PSUs (the "Original PSU Award"). On November 6, 2023, the Original PSU Award was amended to provide that upon achievement of the maximum level of the applicable performance criteria, the reporting person may become eligible to earn the lesser of (i) 200% of the target number of units and (ii) 300,000 stock units.
The PSUs vest as described in the Form 4 filed by the reporting person on August 28, 2023; provided that upon achievement of the maximum level of the applicable performance criteria, the reporting person may become eligible to earn the lesser of (i) 200% of the target number of units and (ii) 300,000 stock units.
No reportable change since the last filing, this is a reiteration of holdings only to report the amendment described in footnote 15 of this Form 4.
Alissa Neufeld, Power of Attorney for Steven R. Fife
2023-11-08