0001104659-21-077869.txt : 20210607
0001104659-21-077869.hdr.sgml : 20210607
20210607204023
ACCESSION NUMBER: 0001104659-21-077869
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210603
FILED AS OF DATE: 20210607
DATE AS OF CHANGE: 20210607
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: HALLQUIST CONSTANCE J.
CENTRAL INDEX KEY: 0001645615
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-31573
FILM NUMBER: 211000982
MAIL ADDRESS:
STREET 1: 3600 CRONDALL LANE
CITY: OWINGS MILLS
STATE: MD
ZIP: 21117
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: MEDIFAST INC
CENTRAL INDEX KEY: 0000910329
STANDARD INDUSTRIAL CLASSIFICATION: MISCELLANEOUS FOOD PREPARATIONS & KINDRED PRODUCTS [2090]
IRS NUMBER: 133714405
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 11445 CRONHILL DRIVE
CITY: OWINGS MILLS
STATE: MD
ZIP: 21117
BUSINESS PHONE: 7327640619
MAIL ADDRESS:
STREET 1: 11445 CRONHILL DRIVE
CITY: OWINGS MILLS
STATE: MD
ZIP: 21117
FORMER COMPANY:
FORMER CONFORMED NAME: HEALTHRITE INC
DATE OF NAME CHANGE: 19951120
FORMER COMPANY:
FORMER CONFORMED NAME: XX
DATE OF NAME CHANGE: 19950619
FORMER COMPANY:
FORMER CONFORMED NAME: 00
DATE OF NAME CHANGE: 19950619
4
1
tm2119051-3_4seq1.xml
OWNERSHIP DOCUMENT
X0306
4
2021-06-03
0
0000910329
MEDIFAST INC
MED
0001645615
HALLQUIST CONSTANCE J.
C/O MEDIFAST, INC.,
100 INTERNATIONAL DRIVE
BALTIMORE,
MD
21202
1
0
0
0
Common Stock
2021-06-03
4
A
0
679
0
A
6984
D
Represents the right to receive 679 shares of the Issuer's common stock in connection with the payment of the reporting person's annual director fees, which fees have been deferred under the Medifast, Inc. Directors' Deferred Compensation Plan (Amended and Restated). These shares are granted from the Issuer's 2012 Share Incentive Plan and will vest in full on June 3, 2022.
/s/ Jason L. Groves, attorney-in-fact
2021-06-07