0000849146-24-000019.txt : 20240206 0000849146-24-000019.hdr.sgml : 20240206 20240206201540 ACCESSION NUMBER: 0000849146-24-000019 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240110 FILED AS OF DATE: 20240206 DATE AS OF CHANGE: 20240206 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Mauro Garry Paul CENTRAL INDEX KEY: 0001436020 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35647 FILM NUMBER: 24601812 MAIL ADDRESS: STREET 1: 6400 S. FIDDLER'S GREEN CIRCLE STREET 2: SUITE 1970 CITY: GREENWOOD VILLAGE STATE: X1 ZIP: 80111 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Lifevantage Corp CENTRAL INDEX KEY: 0000849146 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] ORGANIZATION NAME: 03 Life Sciences 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_1707268528.xml FORM 4 X0508 4 2024-01-10 0 0000849146 Lifevantage Corp LFVN 0001436020 Mauro Garry Paul 3300 TRIUMPH BLVD, SUITE 700 LEHI UT 84043 1 0 0 0 0 Common Stock 2024-01-10 4 G 0 30893 0 D 76905 D Common Stock 2024-02-02 4 P 0 162 5.66 A 77067 D Common Stock 2024-01-10 4 G 0 5893 0 A 6438 I By Garry Paul Mauro SEP IRA Common Stock 2024-02-02 4 P 0 37 5.71 A 6475 I By Garry Paul Mauro SEP IRA Common Stock 2024-01-10 4 G 0 5000 0 A 32542 I By The Francesco A. Mauro Trust of 2021 Common Stock 2024-01-10 4 G 0 5000 0 A 32542 I By The Andrew H. Mauro Trust of 2021 Common Stock 2024-01-10 4 G 0 5000 0 A 32542 I By The Dominic C. Mauro Trust of 2021 Common Stock 2024-01-10 4 G 0 5000 0 A 32542 I By The David W.B. Mauro Trust of 2021 Common Stock 2024-01-10 4 G 0 5000 0 A 32542 I By The Alexandra P. Mauro Trust of 2021 Total number of shares has been adjusted to include the grant of 19,430 shares that were reported on Form 4 filed by the Reporting Person on November 15, 2022, but were inadvertently omitted from reports thereafter. Alissa Neufeld, Power of Attorney for Garry P. Mauro 2024-02-06