SEC Form 3 · accession 0001243420-15-000001
RELIV INTERNATIONAL INC · RELV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Donald E Gibbons Jr.
Officer — Vice President U.S. Sales
Period of report
Mar 5, 2015
Accepted (ET)
Mar 12, 2015 · 3:22 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000768710
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | holding | — | — | — | 18,630 | D | ||
| Common Stock | holding | — | — | — | 10,790 | I | Profit Sharing Plan |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (right to purchase) | $1.20 | holding | — | — | — | Jan 11, 2012 | Jan 10, 2017 | Common Stock | 20,000 | — | D |
| Stock Option (right to purchase) | $1.20 | holding | — | — | — | Jan 11, 2013 | Jan 10, 2017 | Common Stock | 4,000 | — | D |
| Stock Option (right to purchase) | $1.20 | holding | — | — | — | Jan 11, 2014 | Jan 10, 2017 | Common Stock | 4,000 | — | D |
| Stock Option (right to purchase) | $1.20 | holding | — | — | — | Jan 11, 2015 | Jan 10, 2017 | Common Stock | 4,000 | — | D |
| Stock Option (right to purchase) | $1.20 | holding | — | — | — | Jan 11, 2016 | Jan 10, 2017 | Common Stock | 4,000 | — | D |
| Stock Option (right to purchase) | $1.20 | holding | — | — | — | Nov 1, 2016 | Jan 10, 2017 | Common Stock | 4,000 | — | D |
| Stock Option (right to purchase) | $1.17 | holding | — | — | — | Mar 8, 2014 | Mar 8, 2018 | Common Stock | 19,000 | — | D |