0001144204-16-079621.txt : 20160208 0001144204-16-079621.hdr.sgml : 20160208 20160208174603 ACCESSION NUMBER: 0001144204-16-079621 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160204 FILED AS OF DATE: 20160208 DATE AS OF CHANGE: 20160208 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: SHEETZ MARGARET CENTRAL INDEX KEY: 0001224955 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-31573 FILM NUMBER: 161396598 MAIL ADDRESS: STREET 1: C/O MEDIFAST, INC. STREET 2: 3600 CRONDALL LANE CITY: OWINGS MILLS STATE: MD ZIP: 21117 FORMER NAME: FORMER CONFORMED NAME: SHEETZ MARGARET MACDONALD DATE OF NAME CHANGE: 20090824 FORMER NAME: FORMER CONFORMED NAME: MACDONALD MARGARET DATE OF NAME CHANGE: 20030328 4 1 v430884_4.xml OWNERSHIP DOCUMENT X0306 4 2016-02-04 0 0000910329 MEDIFAST INC MED 0001224955 SHEETZ MARGARET C/O MEDIFAST, INC. 3600 CRONDALL LANE OWINGS MILLS MD 21117 0 1 0 0 President & COO Common Stock 2016-02-04 4 A 0 11250 0.00 D 348012 D Common Stock 2016-02-04 4 A 0 1431 0.00 D 6580 I By: Spouse Represents shares issued under the 2012 Share Incentive Plan. These shares will vest in full on December 31, 2016. Represents shares issued to the reporting person's spouse under the 2012 Share Incentive Plan. These shares will vest in full on December 31, 2016. /s/ Timothy G. Robinson, attorney-in-fact 2016-02-08