0001104659-21-077871.txt : 20210607 0001104659-21-077871.hdr.sgml : 20210607 20210607204105 ACCESSION NUMBER: 0001104659-21-077871 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: SCHLACKMAN SCOTT CENTRAL INDEX KEY: 0001645617 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-31573 FILM NUMBER: 211000985 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 tm2119051-5_4seq1.xml OWNERSHIP DOCUMENT X0306 4 2021-06-03 0 0000910329 MEDIFAST INC MED 0001645617 SCHLACKMAN SCOTT C/O MEDIFAST, INC., 100 INTERNATIONAL DRIVE BALTIMORE MD 21202 1 0 0 0 Common Stock 2021-06-03 4 A 0 669 0 A 5900 D Represents the right to receive 669 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