-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, SxVu1Ey/efk4NWvAWMswFIywE1xqq/I83THKLPEx1rYy8kvolGmjhCqj073PxSmf a0pJm3exwE/u24iAnWQHuQ== 0001144204-11-011031.txt : 20110225 0001144204-11-011031.hdr.sgml : 20110225 20110225154027 ACCESSION NUMBER: 0001144204-11-011031 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20110225 DATE AS OF CHANGE: 20110225 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: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-48267 FILM NUMBER: 11640762 BUSINESS ADDRESS: STREET 1: 136 CHESTERFIELD INDUSTRIAL BLVD STREET 2: P O BOX 405 CITY: CHESTERFIELD STATE: MO ZIP: 63006-0405 BUSINESS PHONE: 636-537-9715 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: MONTGOMERY ROBERT L CENTRAL INDEX KEY: 0000902108 FILING VALUES: FORM TYPE: SC 13G/A MAIL ADDRESS: STREET 1: 136 CHESTERFIELD INDUSTRIAL BLVD CITY: CHESTERFIELD STATE: MO ZIP: 63005 SC 13G/A 1 v212685_sc13ga.htm Unassociated Document
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C.  20549


SCHEDULE 13G


Under the Securities Exchange Act of 1934
(Amendment No. 16)*

Reliv International, Inc.
(Name of Issuer)

Common Stock, $.001
(Title of Class of Securities)

75952 R 100
(CUSIP Number)

Check the follow box if a fee is being paid with this statement.  9 (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 Afiled@ for the purpose of Section 18 of the Securities Exchange Act of 1934 (AAct@) 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).
 
 
 
 

 
 
 
 
NAME OF REPORTING PERSON
1
S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
     
 
Robert L. Montgomery
 
     
 
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
3,460,506
     
 
SHARES
SHARED VOTING POWER
6
BENEFICIALLY
     
 
OWNED BY
 
     
 
EACH
SOLE DISPOSITIVE POWER
     
7
REPORTING
3,460,506
     
 
PERSON
 
   
SHARED DISPOSITIVE POWER
8
WITH
 
   
 
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
9
   
 
3,460,506
 
     
 
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*
10
   
     
 
 
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
11
   
 
27.95%
 
 
TYPE OF REPORTING PERSON*
12
   
 
IN
 
 
 
 
 

 

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
Robert L. Montgomery

(b)           Address of principal Business Office or, if none, Residence
136 Chesterfield Industrial Boulevard
Chesterfield, Missouri 63005

(c)           Citizenship
United States

(d)           Title of Class of Securities
Common Stock, $.001

(e)           CUSIP Number
75952 R 100

ITEM 3

N/A

ITEM 4  OWNERSHIP

(a)           Amount Beneficially Owned
3,460,506

(b)           Percent of Class
     27.95%

(c)           Number of shares as to which such person has:

(i)           sole power to vote or to direct the vote
3,460,506
(ii)           shared power to vote or to direct the vote
---------
 
 
 

 

 
(iii)           sole power to dispose or to direct the disposition of
3,460,506

(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 OFANOTHER 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

 
 

 
 
 
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 25, 2011
Date


/s/Robert L. Montgomery
Robert L. Montgomery
 
 
 
 

 
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