0001144204-12-012745.txt : 20120302 0001144204-12-012745.hdr.sgml : 20120302 20120302173032 ACCESSION NUMBER: 0001144204-12-012745 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111118 FILED AS OF DATE: 20120302 DATE AS OF CHANGE: 20120302 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: 12664023 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 v304598_4.xml OWNERSHIP DOCUMENT X0304 4 2011-11-18 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 2011-11-18 4 S 0 2000 14.08 D 23959 D /s/ George J. Lavin 2012-03-02