SEC Form 4 · accession 0000849146-19-000008
Lifevantage Corp · LFVN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Garry Paul Mauro
Director
Period of report
Jan 4, 2019
Accepted (ET)
Jan 7, 2019 · 6:14 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000849146
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Jan 4, 2019 | M | 17,143 | $1.47 | A | 112,871 | D | |
| Common Stock | holding | — | — | — | 225 | I | By Spouse | |
| Common Stock | holding | — | — | — | 196 | I | By Son (F.M.) | |
| Common Stock | holding | — | — | — | 195 | I | By Son (D.M.) | |
| Common Stock | holding | — | — | — | 195 | I | By Son (A.M.) | |
| Common Stock | holding | — | — | — | 54 | I | By Son (D.W.M.) | |
| Common Stock | holding | — | — | — | 54 | I | By Daughter (A.P.M.) |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (Right to Buy) | $1.47 | Jan 4, 2019 | M | 17,143 | D | Jan 7, 2010 | Jan 7, 2019 | Common Stock | 17,143 | 0 | D |