0001437749-17-021285.txt : 20171229 0001437749-17-021285.hdr.sgml : 20171229 20171229101813 ACCESSION NUMBER: 0001437749-17-021285 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171228 FILED AS OF DATE: 20171229 DATE AS OF CHANGE: 20171229 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MONTGOMERY ROBERT L CENTRAL INDEX KEY: 0000902108 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-19932 FILM NUMBER: 171280087 MAIL ADDRESS: STREET 1: 136 CHESTERFIELD INDUSTRIAL BLVD CITY: CHESTERFIELD STATE: MO ZIP: 63005 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: DE 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: 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 4 1 rdgdoc.xml FORM 4-RLM 12-28-17 X0306 4 2017-12-28 0000768710 RELIV INTERNATIONAL INC RELV 0000902108 MONTGOMERY ROBERT L 136 CHESTERFIELD INDUSTRIAL BOULEVARD CHESTERFIELD MO 63005 1 1 1 Chief Executive Officer Reliv International, Inc. 2017-12-28 4 P 0 1220 4.5715 A 528047 I IRA 1. Purchased pursuant to Rule 10B5-1 Plan /s/ Robert L. Montgomery 2017-12-29