-----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, EIpxwzP21+BaY3C8J63I2gbIwV8i9Sn5mkayF1SXArssHce6ev6RF/Byove7KylE Ci8BFS9rx3NL+t9lsdbsTw== 0001104659-07-087710.txt : 20071207 0001104659-07-087710.hdr.sgml : 20071207 20071207150048 ACCESSION NUMBER: 0001104659-07-087710 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 2 FILED AS OF DATE: 20071207 DATE AS OF CHANGE: 20071207 GROUP MEMBERS: JANE MEYER 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: 071292303 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: Paul & Jane Meyer Family Foundation CENTRAL INDEX KEY: 0001363634 IRS NUMBER: 000000000 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: 4527 LAKE SHORE DRIVE CITY: WACO STATE: TX ZIP: 76710 BUSINESS PHONE: 972-788-5300 MAIL ADDRESS: STREET 1: 4527 LAKE SHORE DRIVE CITY: WACO STATE: TX ZIP: 76710 SC 13G/A 1 a07-30969_1sc13ga.htm AMENDMENT

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

SCHEDULE 13G

 

 

Under the Securities Exchange Act of 1934

(Amendment No. 1)

 


 

RELIV INTERNATIONAL, INC.

(Name of Issuer)

 

Common Stock, $.001 par value

(Title of Class of Securities)

 

75952   R   100

(CUSIP Number)

 

 

November 30, 2007

(Date of Event which Requires Filing of this Statement)

 

Check the appropriate box to designate the rule pursuant to which this Schedule is filed:

                o Rule 13d-1(b)

                x Rule 13d-1(c)

                o Rule 13d-1(d)

 

* 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 disclosures provided in a prior cover page.

 

The information required on 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

 

 

 

 

 

 

 

 

NAME OF REPORTING PERSONS

 

 

 

 

 

 

 

 

 

 

 

 

 

The Paul & Jane Meyer Family Foundation

 

 

 

 

 

 

 

 

 

 

 

2

CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (See Instructions)

(a)  o

 

 

 

 

 

 

(b) x

 

 

 

 

 

 

 

 

 

 

3

SEC USE ONLY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4

CITIZENSHIP OR PLACE OF ORGANIZATION

 

 

 

 

 

Texas

 

 

 

 

 

 

 

 

 

 

 

5

SOLE VOTING POWER

 

 

 

 

NUMBER OF SHARES

BENEFICIALLY

OWNED BY

EACH

REPORTING

PERSON

WITH

 

—0—

 

 

 

 

 

 

 

 

 

 

6

SHARED VOTING POWER

 

 

 

 

 

2,509,909

 

 

 

 

 

 

 

 

 

 

7

SOLE DISPOSITIVE POWER

 

 

 

 

 

—0—

 

 

 

 

 

 

 

 

 

 

 

8

SHARED DISPOSITIVE POWER

 

 

 

 

 

 

2,509,909

 

 

 

 

 

 

 

9

AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

 

 

 

 

 

2,509,909

 

 

 

 

 

 

 

 

 

 

10

CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES 

o

 

 

 

 

N/A

 

 

 

 

 

 

 

 

 

 

11

PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)

 

 

 

 

 

 

15.8%

 

 

 

 

 

 

 

 

 

 

12

TYPE OF REPORTING PERSON

 

 

 

 

 

 

CO

 

 

 

 

 

 

 

 

 

 

 

2



CUSIP NO. 75952   R   100

 

 

 

1

NAME OF REPORTING PERSONS

 

 

 

Jane Meyer

 

 

 

 

 

2

CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (See Instructions)

(a)  o

 

 

(b) x

 

 

Jane Meyer is a trustee of The Paul & Jane Meyer Family Foundation, the record holder of the shares indicated below with shared voting and dispositive power.

 

 

 

 

 

3

SEC USE ONLY

 

 

 

 

 

 

 

 

 

4

CITIZENSHIP OR PLACE OF ORGANIZATION

 

 

 

United States

 

 

 

 

 

 

5

SOLE VOTING POWER

 

 

 

 

NUMBER OF SHARES

BENEFICIALLY

OWNED BY

EACH

REPORTING

PERSON

WITH

 

150,000

 

 

 

 

 

 

 

6

SHARED VOTING POWER

 

 

 

 

 

2,509,909

 

 

 

 

 

 

 

7

SOLE DISPOSITIVE POWER

 

 

 

 

 

150,000

 

 

 

 

 

 

 

 

8

SHARED DISPOSITIVE POWER

 

 

 

 

 

 

2,509,909

 

 

 

 

 

 

 

9

AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

 

 

 

2,659,909

 

 

 

 

 

 

 

 

10

CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES

o

 

 

N/A

 

 

 

 

 

 

 

 

11

PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)

 

 

 

16.8%

 

 

 

 

 

 

 

 

12

TYPE OF REPORTING PERSON

 

 

 

IN

 

 

 

 

 

 

 

 

 

 

3



CUSIP NO. 75952   R   100

 

 

Item 1.

 

 

 

 

 

 

Item 1(a)

Name of Issuer:

 

 

Reliv International, Inc. (the “Company”)

 

 

 

 

Item 1(b)

Address of Issuer’s Principal Executive Offices:

 

 

136 Chesterfield Industrial Boulevard

 

 

Chesterfield, Missouri 63005

 

 

 

Item 2.

 

 

 

 

 

 

Item 2(a)

Name of Persons Filing:

 

 

The Paul & Jane Meyer Family Foundation

 

 

Jane Meyer

 

 

 

 

Item 2(b)

Address or principal business office or, if none, residence:

 

 

4527 Lake Shore Drive

 

 

Waco, Texas 76710

 

 

 

 

Item 2(c)

Citizenship:

 

 

The Paul & Jane Meyer Family Foundation is a Texas non-profit corporation.

 

 

Jane Meyer is a citizen of the United States.

 

 

 

 

Item 2(d)

Title of class of securities:

 

 

Common Stock, $.001 par value

 

 

 

 

Item 2(e)

CUSIP No.:

 

 

75952   R   100

 

 

 

Item 3.

If this statement is filed pursuant to Rule 13d-1(b) or Rule 13d-2(b) or (c), check whether the person filing is a:

 

(a)  o          Broker or dealer registered under section 15 of the Act;

 

(b)  o   Bank as defined in section 3(a)(6) of the Act;

 

(c)  o          Insurance company as defined in section 3(a)(19) of the Act;

 

(d)  o         Investment company registered under section 8 of the Investment Company Act of 1940;

 

(e)  o          An investment adviser in accordance with Rule 13d-1(b)(1)(ii)(E);

 

(f)  o            An employee benefit plan or endowment fund in accordance with Rule 13d-1(b)(1)(ii)(F);

 

(g)  o         A parent holding company or control person in accordance with Rule 13d-1(b)(1)(ii)(G);

 

4



CUSIP NO. 75952   R   100

 

 

 

(h)  o         A savings associations as defined in Section 3(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813);

 

(i)  o             A church plan that is excluded from the definition of an investment company under section 3(c)(14) of the Investment Company Act of 1940;

 

(j)  o             Group, in accordance with Rule 13d-1(b)(1)(ii)(J).

 

If this statement is filed pursuant to Rule 13d-1(c), check this box.  x

 

Item 4.                       Ownership.

 

Item 4(a)

Amount beneficially owned:

 

 

 

 

 

 

 

The Paul & Jane Meyer Family Foundation

 

- 2,509,909

 

Jane Meyer

 

- 2,659,909

 

Item 4(b)

Percent of class:

 

 

 

 

 

 

 

The Paul & Jane Meyer Family Foundation

 

- 15.8%

 

Jane Meyer

 

- 16.8%

 

The calculation of the percentage of beneficial ownership of the Company’s common stock is based upon 15,873,754 shares outstanding on October 26, 2007, as disclosed by the Company in its Quarterly Report on Form 10-Q.

 

Item 4(c)

Number of shares as to which the person has:

 

 

 

 

 

 

 

 

 

(i)

 

Sole power to vote or to direct the vote:

 

 

 

 

 

The Paul & Jane Meyer Family Foundation

 

- 0

 

 

 

Jane Meyer

 

- 150,000

 

 

 

 

 

 

 

(ii)

 

Shared power to vote or to direct the vote:

 

 

 

 

 

The Paul & Jane Meyer Family Foundation

 

- 2,509,909

 

 

 

Jane Meyer

 

- 2,509,909

 

 

 

 

 

 

 

(iii)

 

Sole power to dispose or to direct the disposition of:

 

 

 

 

 

The Paul & Jane Meyer Family Foundation

 

- 0

 

 

 

Jane Meyer

 

- 150,000

 

 

 

 

 

 

 

 (iv)

 

Shared power to dispose or to direct the disposition of:

 

 

 

 

 

The Paul & Jane Meyer Family Foundation

 

- 2,509,909

 

 

 

Jane Meyer

 

- 2,509,909

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5



CUSIP NO. 75952   R   100

 

 

Item 5.

Ownership of Five Percent or Less of a Class.

 

 

 

 

 

If this Statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than 5 percent of the class of securities, check the following o

 

 

 

 

Item 6.

Ownership of More than Five Percent on Behalf of Another Person.

 

 

 

 

 

Not Applicable.

 

 

 

 

Item 7.

Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company or Control Person.

 

 

 

 

 

Not Applicable.

 

 

 

 

Item 8.

Identification and Classification of Members of the Group.

 

 

 

 

 

Not Applicable.

 

 

 

 

Item 9.

Notice of Dissolution of a Group.

 

 

 

 

 

Not Applicable.

 

 

 

 

Item 10.

Certifications.

 

 

 

 

Item 10(a)

Not Applicable.

 

 

 

 

Item 10(b)

By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect.

 

 

 

6



CUSIP NO. 75952   R   100

 

 

Signature

 

After reasonable inquiry and to the best of the undersigned’s knowledge and belief, the undersigned certifies that the information set forth in this statement is true, complete and correct.

 

 

 

 

THE PAUL & JANE MEYER FAMILY FOUNDATION

 

 

 

 

 

 

By:

/s/ Paul J. Meyer

 

 

 

Paul J. Meyer

 

 

 

Trustee

 

 

 

Dated: December 6, 2007

 

 

 

 

 

 

 

/s/ Jane Meyer

 

 

 

Jane Meyer, individually

 

 

 

Dated: December 6, 2007

 

 

 

 

 

7


EX-99.1 2 a07-30969_1ex99d1.htm EX-99.1

CUSIP NO. 75952   R 100

 

EXHIBIT 99.1

 

AGREEMENT FOR JOINT FILING PURSUANT TO RULE

13d-1(k)(1) UNDER THE SECURITIES EXCHANGE ACT OF 1934

 

                Pursuant to 17 CFR 240.13d-1(k)(1) under the Securities Act of 1934, the undersigned, by their respective signatures affixed hereto, do hereby agree in writing that this Schedule 13G be and is filed on behalf of each of them.  The undersigned further recognize that each of them is responsible for the timely filing of this Schedule 13G and any amendments hereto, and for the completeness and accuracy of any information concerning them contained herein.  The undersigned further constitute and appoint The Paul & Jane Meyer Family Foundation as lawful attorney-in-fact and agent to execute and file this Schedule 13G and any amendments hereto on their behalf.

 

                Dated as of this 6th day of December, 2007.

 

 

 

THE PAUL & JANE MEYER FAMILY FOUNDATION

 

 

 

 

 

 

By:

/s/ Paul J. Meyer

 

 

 

Paul J. Meyer

 

 

 

Trustee

 

 

 

 

 

 

 

/s/ Jane Meyer

 

 

 

Jane Meyer, individually

 

 

 

 

 

 

 

 

 


 

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