SEC Form 4 · accession 0001401620-15-000001
RELIV INTERNATIONAL INC · RELV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Brett M Hastings
Officer — Associate General Counsel
Period of report
Mar 10, 2015
Accepted (ET)
Mar 12, 2015 · 11:25 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.
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) | $1.11 | Mar 10, 2015 | A | 6,900 | A | Mar 10, 2016 | Mar 10, 2020 | Common Stock | 6,900 | 65,400 | 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 | 72,300 | 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 | 79,200 | 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 | 86,100 | 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 | 93,000 | D |
| Stock Option (right to purchase)F1 | $1.11 | Mar 10, 2015 | A | 40,250 | A | Mar 10, 2016 | Mar 10, 2020 | Common Stock | 40,250 | 133,250 | D |
| Stock Option (right to purchase)F1 | $1.11 | Mar 10, 2015 | A | 40,250 | A | Mar 10, 2016 | Mar 10, 2020 | Common Stock | 40,250 | 173,500 | D |
Explanation of responses
- F1Based on Company Performance