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