4//SEC Filing
MORTGOMERY SANDRA S 4
Accession 0001243424-04-000011
CIK 0000768710other
Filed
Jun 16, 8:00 PM ET
Accepted
Jun 17, 10:45 AM ET
Size
12.4 KB
Accession
0001243424-04-000011
Insider Transaction Report
Form 4
MORTGOMERY SANDRA S
Director10% Owner
Transactions
- Exercise/Conversion
Non-Qualified Stock Option (Right to Buy)
2004-06-15−100,000→ 213,213 total(indirect: By Spouse)Exercise: $1.37From: 1999-12-14Exp: 2004-12-14→ Common Stock (100,000 underlying) - Tax Payment
Common Stock
2004-06-15$10.07/sh−13,649$137,445→ 1,747,984 total(indirect: By Spouse) - Exercise/Conversion
Common Stock
2004-06-15$1.37/sh+100,000$137,440→ 1,847,984 total(indirect: By Spouse) - Other
Common Stock
2004-05-31$10.79/sh+557$6,010→ 1,761,633 total(indirect: By Spouse)
Holdings
- 140,784
Common Stock
- 1,154,970(indirect: by Family LP)
Common Stock
- 470,114(indirect: by Corporation)
Common Stock
Footnotes (1)
- [F1]Exempt purchases by husband through Company 401(k) Plan, 92,109 shares owned by husband in Plan through 5/31/04.
Documents
Issuer
RELIV INTERNATIONAL INC
CIK 0000768710
Entity typeother
Related Parties
1- filerCIK 0001243424
Filing Metadata
- Form type
- 4
- Filed
- Jun 16, 8:00 PM ET
- Accepted
- Jun 17, 10:45 AM ET
- Size
- 12.4 KB