SEC Form 4 · accession 0001314112-15-000001

RELIV INTERNATIONAL INC · RELV

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Officer — Vice President

Period of report

Mar 10, 2015

Accepted (ET)

Mar 12, 2015 · 11:24 am EDT

Rule 10b5-1 plan

unknown — predates the checkbox

Issuer CIK

0000768710

Table I — non-derivative securities

No Table I lines on this filing.

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Stock Option (right to purchase)	$1.11	Mar 10, 2015	A	6,900	A	Mar 10, 2016	Mar 10, 2020	Common Stock	6,900	98,900	D
Stock Option (right to purchase)	$1.11	Mar 10, 2015	A	6,900	A	Mar 10, 2017	Mar 10, 2020	Common Stock	6,900	105,800	D
Stock Option (right to purchase)	$1.11	Mar 10, 2015	A	6,900	A	Mar 10, 2018	Mar 10, 2020	Common Stock	6,900	112,700	D
Stock Option (right to purchase)	$1.11	Mar 10, 2015	A	6,900	A	Mar 10, 2019	Mar 10, 2020	Common Stock	6,900	119,600	D
Stock Option (right to purchase)	$1.11	Mar 10, 2015	A	6,900	A	Jan 1, 2020	Mar 10, 2020	Common Stock	6,900	126,500	D
Stock Option (right to purchase)^F1	$1.11	Mar 10, 2020	A	40,250	A	Mar 10, 2016	Mar 10, 2020	Common Stock	40,250	166,750	D
Stock Option (right to purchase)^F1	$1.11	Mar 10, 2020	A	40,250	A	Mar 10, 2016	Mar 10, 2020	Common Stock	40,250	207,000	D