0001169232-05-000456.txt : 20120705
0001169232-05-000456.hdr.sgml : 20120704
20050204104622
ACCESSION NUMBER: 0001169232-05-000456
CONFORMED SUBMISSION TYPE: SC 13G/A
PUBLIC DOCUMENT COUNT: 1
FILED AS OF DATE: 20050204
DATE AS OF CHANGE: 20050204
SUBJECT COMPANY:
COMPANY DATA:
COMPANY CONFORMED NAME: RELIV INTERNATIONAL INC
CENTRAL INDEX KEY: 0000768710
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 371172197
STATE OF INCORPORATION: IL
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: SC 13G/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 005-48267
FILM NUMBER: 05575528
BUSINESS ADDRESS:
STREET 1: 136 CHESTERFIELD INDUSTRIAL BLVD
STREET 2: P O BOX 405
CITY: CHESTERFIELD
STATE: MO
ZIP: 63006-0405
BUSINESS PHONE: 3145379715
MAIL ADDRESS:
STREET 1: 136 CHESTERFIELD INDUSTRIAL BLVD
STREET 2: P O BOX 405
CITY: CHESTERFIELD
STATE: MO
ZIP: 63006-0405
FORMER COMPANY:
FORMER CONFORMED NAME: AMERICAN LIFE INVESTORS INC
DATE OF NAME CHANGE: 19920315
FILED BY:
COMPANY DATA:
COMPANY CONFORMED NAME: MERRICK STEPHEN M
CENTRAL INDEX KEY: 0000901996
FILING VALUES:
FORM TYPE: SC 13G/A
BUSINESS ADDRESS:
STREET 1: 30 NORTH LASALLE SUITE 3500
CITY: CHICAGO
STATE: IL
ZIP: 60602
BUSINESS PHONE: 3127261224
MAIL ADDRESS:
STREET 1: 401 S LASALLE STREET SUITE 1302
CITY: CHICAGO
STATE: IL
ZIP: 60605
SC 13G/A
1
d62062_13g-a.txt
AMENDMENT TO SCHEDULE 13G
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13G
Under the Securities Exchange Act of 1934
(Amendment No. 7)*
Reliv' International, Inc.
(Name of Issuer)
Common Stock, $.001 Par Value
(Title of Class of Securities)
75952 R 100
(CUSIP Number)
Check the follow box if a fee is being paid with this statement. |_| (A fee is
not required only if the filing person: (1) has a previous statement on file
reporting beneficial ownership of more than five percent of the class of
securities described in Item 1; and (2) has filed no amendment subsequent
thereto reporting beneficial ownership of five percent or less of such class.)
(see Rule 13d-7)
*The remainder of this cover page shall be filled out for a reporting person's
initial filing on this form with respect to the subject class of securities, and
for any subsequent amendment containing information which would alter the
disclosures provided in a prior cover page.
The information required in the remainder of this cover page shall not be deemed
to be "filed" for the purpose of Section 18 of the Securities Exchange Act of
1934 ("Act") or otherwise subject to the liabilities of that section of the Act
but shall be subject to all other provisions of the Act (however, see the
Notes).
CUSIP NO. 75952 R 100 13G Page 2 of 6 Pages
--------------------------------------------------------------------------------
NAME OF REPORTING PERSON
1 S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
Stephen M. Merrick
--------------------------------------------------------------------------------
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*
2 (a) [_]
(b) [_]
--------------------------------------------------------------------------------
SEC USE ONLY
3
--------------------------------------------------------------------------------
CITIZENSHIP OR PLACE OF ORGANIZATION
4
United States
--------------------------------------------------------------------------------
SOLE VOTING POWER
5
NUMBER OF 944,391
SHARES ------------------------------------------------------
SHARED VOTING POWER
BENEFICIALLY 6
OWNED BY
------------------------------------------------------
EACH SOLE DISPOSITIVE POWER
7
REPORTING 944,391
PERSON ------------------------------------------------------
SHARED DISPOSITIVE POWER
WITH 8
--------------------------------------------------------------------------------
CUSIP NO. 75952 R 100 13G Page 3 of 6 Pages
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
9
944,391
--------------------------------------------------------------------------------
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*
10
--------------------------------------------------------------------------------
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
11
5.72%
--------------------------------------------------------------------------------
TYPE OF REPORTING PERSON*
12
IN
--------------------------------------------------------------------------------
CUSIP NO. 75952 R 100 13G Page 4 of 6 Pages
ITEM 1.
(a) Name of Issuer
Reliv' International, Inc.
(b) Address of Issuer's Principal Executive Offices
136 Chesterfield Industrial Boulevard
Chesterfield, Missouri 63005
ITEM 2
(a) Name of Person Filing
Stephen M. Merrick
(b) Address of principal Business Office or, if none, Residence
33 North LaSalle Street, Suite 2200
Chicago, Illinois 60602
(c) Citizenship
United States
(d) Title of Class of Securities
Common Stock, $.001 Par Value
(e) CUSIP Number
75952 R 100
ITEM 3
N/A
ITEM 4 OWNERSHIP
(a) Amount Beneficially Owned
944,391
(b) Percent of Class
5.72%
(c) Number of shares as to which such person has:
(i) sole power to vote or to direct the vote
944,391
CUSIP NO. 75952 R 100 13G Page 5 of 6 Pages
(ii) shared power to vote or to direct the vote
(iii) sole power to dispose or to direct the disposition of
944,391
(iv) shared power to dispose or to direct the disposition of
ITEM 5 OWNERSHIP OF FIVE PERCENT OR LESS OF A CLASS.
N/A
ITEM 6 OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF ANOTHER PERSON.
N/A
ITEM 7 IDENTIFICATION AND CLASSIFICATION OF THE SUBSIDIARY WHICH ACQUIRED THE
SECURITY BEING REPORTED ON BY THE PARENT HOLDING COMPANY.
N/A
ITEM 8 IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF THE GROUP.
N/A
ITEM 9 NOTICE OF DISSOLUTION OF GROUP.
N/A
ITEM 10 CERTIFICATION.
N/A
CUSIP NO. 75952 R 100 13G Page 6 of 6 Pages
SIGNATURE
After reasonable inquiry and to the best of my knowledge and belief, I
certify that the information set forth in this statement is true, complete and
correct. The filing of this statement shall not be construed as an admission
that the undersigned is for the purpose of Section 13(d) or 13(g) of the Act,
the beneficial owner of any securities covered by this statement.
February 3, 2005
--------------------------
Date
/s/Stephen M. Merrick
--------------------------
Stephen M. Merrick