0001179110-11-011454.txt : 20110729 0001179110-11-011454.hdr.sgml : 20110729 20110729142204 ACCESSION NUMBER: 0001179110-11-011454 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110727 FILED AS OF DATE: 20110729 DATE AS OF CHANGE: 20110729 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: POELMAN RONALD S CENTRAL INDEX KEY: 0001203350 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35024 FILM NUMBER: 11996890 MAIL ADDRESS: STREET 1: JONES WALDO HOLBROOK & MCDONOUGH STREET 2: 1500 WELLS FARGO BLDG 170 S MAIN ST CITY: SALT LAKE CITY STATE: UT ZIP: 84120 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: USANA HEALTH SCIENCES INC CENTRAL INDEX KEY: 0000896264 STANDARD INDUSTRIAL CLASSIFICATION: MEDICINAL CHEMICALS & BOTANICAL PRODUCTS [2833] IRS NUMBER: 870500306 STATE OF INCORPORATION: UT FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 3838 WEST PARKWAY BLVD. CITY: SALT LAKE CITY STATE: UT ZIP: 84120-6336 BUSINESS PHONE: 8019547100 MAIL ADDRESS: STREET 1: 3838 WEST PARKWAY BLVD. STREET 2: 3838 WEST PARKWAY BLVD. CITY: SALT LAKE CITY STATE: UT ZIP: 84120-6336 FORMER COMPANY: FORMER CONFORMED NAME: USANA INC DATE OF NAME CHANGE: 19930125 4 1 edgar.xml FORM 4 - X0303 4 2011-07-27 0 0000896264 USANA HEALTH SCIENCES INC USNA 0001203350 POELMAN RONALD S 3838 WEST PARKWAY BLVD SALT LAKE CITY UT 84120 1 0 0 0 Stock-Settled Stock Appreciation Rights 28.16 2011-07-27 4 A 0 8000 0 A 2014-07-27 2017-01-27 Common Stock 8000 8000 D Stock-Settled Stock Appreciation Rights vest 50% on the fourth and fifth anniversary of the date of grant. James Bramble, as attorney in fact 2011-07-29