0001144204-16-079639.txt : 20160208 0001144204-16-079639.hdr.sgml : 20160208 20160208175705 ACCESSION NUMBER: 0001144204-16-079639 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: CONNOLLY CHARLES P CENTRAL INDEX KEY: 0001394839 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-31573 FILM NUMBER: 161396632 MAIL ADDRESS: STREET 1: C/O MEDIFAST, INC. STREET 2: 3600 CRONDALL LANE CITY: OWINGS MILLS STATE: MD ZIP: 21117 4 1 v430879_4.xml OWNERSHIP DOCUMENT X0306 4 2016-02-04 0 0000910329 MEDIFAST INC MED 0001394839 CONNOLLY CHARLES P C/O MEDIFAST, INC. 3600 CRONDALL LANE OWINGS MILLS MD 21117 1 0 0 0 Common Stock 2016-02-04 4 A 0 1250 0.00 A 47280 D Stock Option 27.68 2016-02-04 4 A 0 5000 0 A 2026-02-04 Common Stock 5000 15000 D These shares were issued to the reporting person under the 2012 Share Incentive Plan and will vest on 1/1/2018. These retention stock options, which were issued to the reporting person under the 2012 Share Incentive Plan, will vest in three equal installments beginning on 2/4/2017. /s/ Timothy G. Robinson, attorney-in-fact 2016-02-08