0001437749-21-000829.txt : 20210119 0001437749-21-000829.hdr.sgml : 20210119 20210119094244 ACCESSION NUMBER: 0001437749-21-000829 CONFORMED SUBMISSION TYPE: 15-12G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20210119 DATE AS OF CHANGE: 20210119 EFFECTIVENESS DATE: 20210119 FILER: 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: 15-12G SEC ACT: 1934 Act SEC FILE NUMBER: 000-19932 FILM NUMBER: 21534296 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 15-12G 1 relv20210115_1512g.htm FORM 15-12G relv20210115_1512g.htm

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

FORM 15

 

CERTIFICATION AND NOTICE OF TERMINATION OF REGISTRATION

UNDER SECTION 12(g) OF THE SECURITIES AND EXCHANGE ACT OF 1934

OR SUSPENSION OF DUTY TO FILE REPORTS UNDER SECTIONS 13 AND 15(d) OF

THE SECURITIES EXCHANGE ACT OF 1934

 

Commission File No. 000-19932

 

RELIV INTERNATIONAL, INC.

(Exact name of registrant as specified in its charter)

 

136 Chesterfield Industrial Blvd.

Chesterfield, Missouri 63005

(636) 537-9715

(Address, including zip code, and telephone number, including area code, of registrant’s principal executive offices)

  

Common Stock $.001 par value

(Title of each class of securities covered by this Form)

 

None

(Titles of all other classes of securities for which a duty

to file reports under section 13(a) or 15(d) remains)

 

Please place an X in the box(es) to designate the appropriate rule provision(s) relied upon to terminate or suspend the duty to file reports:

 

 

Rule 12g-4(a)(l)

☒

 

Rule 12g-4(a)(2)

☐

 

Rule 12h-3(b)(1)(i)

☒

 

Rule 12h-3(b)(1)(ii)

☐

 

Rule 15d-6

☐

 

Rule 15d-22(b)

☐

 

Approximate number of holders of record as of the certification or notice date:          27           

 

SIGNATURE

 

Pursuant to the requirements of the Securities Exchange Act of 1934, Reliv International, Inc. has caused this Certification and Notice to be signed on its behalf by the undersigned duly authorized person.

 

       
           

 

 

 

 

RELIV INTERNATIONAL, INC.

Date:

January 19, 2021

 

By:

/s/ Ryan A. Montgomery
 

 

 

Name:

Ryan A. Montgomery

 

 

 

Title:

Chief Executive Officer