0000849146-23-000219.txt : 20231120
0000849146-23-000219.hdr.sgml : 20231120
20231120212807
ACCESSION NUMBER: 0000849146-23-000219
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20231116
FILED AS OF DATE: 20231120
DATE AS OF CHANGE: 20231120
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Brockovich Erin
CENTRAL INDEX KEY: 0001324073
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35647
FILM NUMBER: 231424318
MAIL ADDRESS:
STREET 1: 5125 LANKERSHIM BOULEVARD
CITY: NORTH HOLLYWOOD
STATE: CA
ZIP: 91601
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_1700533678.xml
FORM 4
X0508
4
2023-11-16
0
0000849146
Lifevantage Corp
LFVN
0001324073
Brockovich Erin
3300 TRIUMPH BLVD, SUITE 700
LEHI
UT
84043
1
0
0
0
0
Common Stock
2023-11-16
4
A
0
17185
6.11
A
62943
D
These shares were granted to the reporting person pursuant to the issuer's outside director compensation program and will vest in a single installment on November 16, 2024, subject to the reporting person's continuous service to the issuer through such date.
The price reported in Column 4 is equal to the average closing price of the issuer's common stock for the ten trading days ending the day before the date of grant.
Alissa Nuefeld, Power of Attorney for Erin Brockovich
2023-11-20