Filing Details

Accession Number:
0001181431-11-060471
Form Type:
4
Zero Holdings:
No
Publication Time:
2011-12-14 17:29:40
Reporting Period:
2011-12-13
Filing Date:
2011-12-14
Accepted Time:
2011-12-14 17:29:40
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
849146 Lifevantage Corp LFVN Pharmaceutical Preparations (2834) 841097796
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1481886 C. Douglas Robinson 11545 W. Bernardo Court, Suite 301
San Diego CA 92127
President & Ceo Yes Yes No No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock Acquisiton 2011-12-13 120,000 $0.36 120,000 No 4 M Direct
Common Stock Disposition 2011-12-13 120,000 $1.43 0 No 4 S Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 M Direct
No 4 S Direct
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Stock Option (Right to Buy) Disposition 2011-12-13 120,000 $0.00 120,000 $0.36
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
0 2020-01-25 No 4 M Direct
Footnotes
  1. Exercise of stock option granted January 25, 2010 which vested and became exercisable in 12 equal monthly installments beginning on February 25, 2010.