MORTGOMERY SANDRA S 4
4 · RELIV INTERNATIONAL INC · Filed Apr 13, 2004
Insider Transaction Report
Form 4
MORTGOMERY SANDRA S
Director10% Owner
Transactions
- Exercise/Conversion
Incentive Stock Option (Right to Buy)
2004-04-09−204,211→ 0 total(indirect: By Spouse)Exercise: $0.83From: 1999-12-15Exp: 2004-12-15→ Common Stock (204,211 underlying) - Tax Payment
Common Stock
2004-04-09$9.25/sh−18,360$169,830→ 3,253,452 total(indirect: By Spouse) - Exercise/Conversion
Non-Qualified Stock Option (Right to Buy)
2004-04-09−1,323→ 71,915 totalExercise: $0.76From: 1999-12-15Exp: 2004-12-15→ Common Stock (73,238 underlying) - Exercise/Conversion
Common Stock
2004-04-09$0.76/sh+1,323$1,000→ 140,784 total - Exercise/Conversion
Common Stock
2004-04-09$0.83/sh+204,211$169,822→ 3,457,633 total(indirect: By Spouse) - Disposition to Issuer
Common Stock
2004-04-09$9.72/sh−25,000$242,950→ 3,271,812 total(indirect: By Spouse)
Footnotes (1)
- [F1]Issuer purchase of Common Stock from Reporting Person's Spouse.