-----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, PtQVqgARKrkUJ2fEKJu6dQnaAeoMCKr+yiDjfJxjloXoEQf9wyrco1qjCNgaVksG JuwCluYx86KnF6Ld+Kkg6A== 0001243544-03-000002.txt : 20031217 0001243544-03-000002.hdr.sgml : 20031217 20031217123519 ACCESSION NUMBER: 0001243544-03-000002 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030121 FILED AS OF DATE: 20031217 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MOODY THOMAS CENTRAL INDEX KEY: 0001243544 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-19932 FILM NUMBER: 031059357 MAIL ADDRESS: STREET 1: MERRICK & KLIEMK PC STREET 2: 11448 RIDGEWOOD LANE CITY: BURR RIDGE STATE: IL ZIP: 60525 ISSUER: 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 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 4 1 edgar.xml PRIMARY DOCUMENT X0201 42003-01-21 0000768710 RELIV INTERNATIONAL INC RELV 0001243544 MOODY THOMAS 11448 RIDGEWOOD LANE BURR RIDGE IL 60525 1000Common Stock2003-12-155M0607.84A163357D Warrant.842003-12-155M06070D1998-12-302003-12-30Common Stock6070DThomas Moody, by John M. Klimek, pursuant to lawful power of attorney previously filed with the Commission2003-12-17 -----END PRIVACY-ENHANCED MESSAGE-----