0001144204-14-056523.txt : 20140917 0001144204-14-056523.hdr.sgml : 20140917 20140917160945 ACCESSION NUMBER: 0001144204-14-056523 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20140205 FILED AS OF DATE: 20140917 DATE AS OF CHANGE: 20140917 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GOULD DONALD CENTRAL INDEX KEY: 0001577146 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-31573 FILM NUMBER: 141107862 MAIL ADDRESS: STREET 1: C/O MEDIFAST, INC. STREET 2: 3600 CRONDALL LANE CITY: OWINGS MILLS STATE: MD ZIP: 21117 4 1 v389345_4.xml OWNERSHIP DOCUMENT X0306 4 2014-02-05 0 0000910329 MEDIFAST INC MED 0001577146 GOULD DONALD C/O MEDIFAST, INC. 3600 CRONDALL LANE OWINGS MILLS MD 21117 0 1 0 0 Executive Vice President Common Stock 2014-02-05 4 A 0 1875 0.00 A 7461 D Common Stock 2014-03-12 4 F 0 657 26.48 D 6804 D Stock Options 24.26 2013-02-19 4 A 0 2000 0.00 A 2023-02-19 Common Stock 2000 2000 D Stock Options 26.52 2014-02-05 4 A 0 2000 0.00 A 2024-02-05 Common Stock 2000 4000 D Represents shares issued upon the settlement of performance shares previously granted to the reporting person under the 2012 Share Incentive Plan for the fiscal 2013 performance period, which shares are fully vested. These retention stock options, which were issued to the reporting person under the 2012 Share Incentive Plan will vest annually in equal installments over a period of three years, beginning on the first anniversary of the grant date. /s/ Donald Gould 2014-09-17