0001144204-11-051649.txt : 20110907
0001144204-11-051649.hdr.sgml : 20110907
20110907170037
ACCESSION NUMBER: 0001144204-11-051649
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20110902
FILED AS OF DATE: 20110907
DATE AS OF CHANGE: 20110907
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: LAVIN GEORGE
CENTRAL INDEX KEY: 0001460671
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-31573
FILM NUMBER: 111078748
MAIL ADDRESS:
STREET 1: 151 SHAWNEE ROAD
CITY: ARDMORE
STATE: PA
ZIP: 19003
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
v234298_4.xml
OWNERSHIP DOCUMENT
X0304
4
2011-09-02
0
0000910329
MEDIFAST INC
MED
0001460671
LAVIN GEORGE
C/O MEDIFAST, INC.,
11445 CRONHILL DR.
OWINGS MILLS
MD
21117
1
0
0
0
Common Stock
2011-09-02
4
S
0
3000
15.12
D
21959
D
/s/ George J. Lavin
2011-09-07