-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, E7f9lBOQhTnZrhjQrB4417tTiOgfzcjGlXmJN9Eml1v/F0h7qSOcH9ssfMLWGHEV VLG5AgkyMVbfCbQYzKO2Uw== 0001104659-07-061958.txt : 20070813 0001104659-07-061958.hdr.sgml : 20070813 20070813172749 ACCESSION NUMBER: 0001104659-07-061958 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 2 FILED AS OF DATE: 20070813 DATE AS OF CHANGE: 20070813 GROUP MEMBERS: JANE MEYER SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: RELIV INTERNATIONAL INC CENTRAL INDEX KEY: 0000768710 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 371172197 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-48267 FILM NUMBER: 071050247 BUSINESS ADDRESS: STREET 1: 136 CHESTERFIELD INDUSTRIAL BLVD STREET 2: P O BOX 405 CITY: CHESTERFIELD STATE: MO ZIP: 63006-0405 BUSINESS PHONE: 636-537-9715 MAIL ADDRESS: STREET 1: 136 CHESTERFIELD INDUSTRIAL BLVD STREET 2: P O BOX 405 CITY: CHESTERFIELD STATE: MO ZIP: 63006-0405 FORMER COMPANY: FORMER CONFORMED NAME: AMERICAN LIFE INVESTORS INC DATE OF NAME CHANGE: 19920315 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: Paul & Jane Meyer Family Foundation CENTRAL INDEX KEY: 0001363634 IRS NUMBER: 000000000 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: 4527 LAKE SHORE DRIVE CITY: WACO STATE: TX ZIP: 76710 BUSINESS PHONE: 972-788-5300 MAIL ADDRESS: STREET 1: 4527 LAKE SHORE DRIVE CITY: WACO STATE: TX ZIP: 76710 SC 13G 1 a07-21714_1sc13g.htm BENEFICIAL OWNERSHIP OF 5% OR MORE

 

 

 

 

 

UNITED STATES

 

 

SECURITIES AND EXCHANGE COMMISSION

 

 

Washington, D.C. 20549

 

 

SCHEDULE 13G

 

Under the Securities Exchange Act of 1934


(Amendment No.     )*

 

RELIV INTERNATIONAL, INC.

(Name of Issuer)

Common Stock, $.001 par value

(Title of Class of Securities)

75952   R   100

(CUSIP Number)

August 3, 2007

(Date of Event Which Requires Filing of this Statement)

Check the appropriate box to designate the rule pursuant to which this Schedule is filed:

o

Rule 13d-1(b)

x

Rule 13d-1(c)

o

Rule 13d-1(d)

 

*The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page.

 

The information required in the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).




 

 

CUSIP No. 75952   R   100

 

 

1.

Names of Reporting Persons. I.R.S. Identification Nos. of above persons (entities only).
The Paul & Jane Meyer Family Foundation

 

 

2.

Check the Appropriate Box if a Member of a Group (See Instructions)

 

 

(a)

o

 

 

(b)

x

 

 

3.

SEC Use Only

 

 

4.

Citizenship or Place of Organization
Texas

 

 

 

Number of
Shares
Beneficially
Owned by
Each
Reporting
Person With

5.

Sole Voting Power
-0-

 

6.

Shared Voting Power
663,200

 

7.

Sole Dispositive Power
-0-

 

8.

Shared Dispositive Power
663,200

 

 

9.

Aggregate Amount Beneficially Owned by Each Reporting Person
663,200

 

 

10.

Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions)  o
N/A

 

 

11.

Percent of Class Represented by Amount in Row (9)
4.1%

 

 

12.

Type of Reporting Person (See Instructions)
CO

 

 

 

2




 

CUSIP No. 75952   R   100

 

 

1.

Names of Reporting Persons. I.R.S. Identification Nos. of above persons (entities only).
Jane Meyer

 

 

2.

Check the Appropriate Box if a Member of a Group (See Instructions)

 

 

(a)

o

 

 

(b)

x

Jane Meyer is a trustee of The Paul & Jane Meyer Family Foundation, the record holder of the shares indicated below with shared voting and dispositive power.

 

 

3.

SEC Use Only

 

 

4.

Citizenship or Place of Organization
United States

 

 

 

Number of
Shares
Beneficially
Owned by
Each
Reporting
Person With

5.

Sole Voting Power
150,000

 

6.

Shared Voting Power
663,200

 

7.

Sole Dispositive Power
150,000

 

8.

Shared Dispositive Power
663,200

 

 

9.

Aggregate Amount Beneficially Owned by Each Reporting Person
813,200

 

 

10.

Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions)  o
N/A

 

 

11.

Percent of Class Represented by Amount in Row (9)
5.0%

 

 

12.

Type of Reporting Person (See Instructions)
IN

 

3




 

Item 1.

 

(a)

Name of Issuer
Reliv International, Inc. (the “Company”)

 

(b)

Address of Issuer’s Principal Executive Offices
136 Chesterfield Industrial Boulevard

Chesterfield, Missouri  63005

 

Item 2.

 

(a)

Name of Person Filing
The Paul & Jane Meyer Family Foundation

Jane Meyer

 

(b)

Address of Principal Business Office or, if none, Residence
4527 Lake Shore Drive

Waco, Texas  76710

 

(c)

Citizenship
The Paul & Jane Meyer Family Foundation is a Texas non-profit corporation.

Jane Meyer is a citizen of the United States.

 

(d)

Title of Class of Securities
Common Stock, $.001 par value

 

(e)

CUSIP Number
75952   R   100

 

Item 3.

If this statement is filed pursuant to §§240.13d-1(b) or 240.13d-2(b) or (c), check whether the person filing is a:

 

(a)

o

Broker or dealer registered under section 15 of the Act (15 U.S.C. 78o).

 

(b)

o

Bank as defined in section 3(a)(6) of the Act (15 U.S.C. 78c).

 

(c)

o

Insurance company as defined in section 3(a)(19) of the Act (15 U.S.C. 78c).

 

(d)

o

Investment company registered under section 8 of the Investment Company Act of 1940 (15 U.S.C 80a-8).

 

(e)

o

An investment adviser in accordance with §240.13d-1(b)(1)(ii)(E);

 

(f)

o

An employee benefit plan or endowment fund in accordance with §240.13d-1(b)(1)(ii)(F);

 

(g)

o

A parent holding company or control person in accordance with § 240.13d-1(b)(1)(ii)(G);

 

(h)

o

A savings associations as defined in Section 3(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813);

 

(i)

o

A church plan that is excluded from the definition of an investment company under section 3(c)(14) of the Investment Company Act of 1940 (15 U.S.C. 80a-3);

 

(j)

o

Group, in accordance with §240.13d-1(b)(1)(ii)(J).

 

 

4




 

Item 4.

Ownership

Provide the following information regarding the aggregate number and percentage of the class of securities of the issuer identified in Item 1.

 

(a)

Amount beneficially owned:   

The Paul & Jane Meyer Family Foundation                                                            - 633,200

Jane Meyer                                                                                                                                              &n bsp;                                                                                     - 813,200

 

(b)

Percent of class:   

The Paul & Jane Meyer Family Foundation                                                            - 4.1%

Jane Meyer                                                                                                                                              &n bsp;                                                                                     - 5.0%

 

 

The calculation of the percentage of beneficial ownership of the Company’s common stock is based upon 16,198,205 shares outstanding on May 1, 2007, as disclosed by the Company in its Quarterly Report on
Form 10-Q.

 

(c)

Number of shares as to which the person has:

 

 

 

(i)

Sole power to vote or to direct the vote   

The Paul & Jane Meyer Family Foundation                                                            - 0

Jane Meyer                                                                                                                                              &n bsp;                                                                                     - 150,000

 

 

(ii)

Shared power to vote or to direct the vote    

The Paul & Jane Meyer Family Foundation                                                            - 663,200

Jane Meyer                                                                                                                                              &n bsp;                                                                                     - 663,200

 

 

(iii)

Sole power to dispose or to direct the disposition of   

The Paul & Jane Meyer Family Foundation                                                            - 0

Jane Meyer                                                                                                                                              &n bsp;                                                                                     - 150,000

 

 

(iv)

Shared power to dispose or to direct the disposition of   

The Paul & Jane Meyer Family Foundation                                                            - 663,200

Jane Meyer                                                                                                                                              &n bsp;                                                                                     - 663,200

 

Item 5.

Ownership of Five Percent or Less of a Class

If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than five percent of the class of securities, check the following   o.

 

Item 6.

Ownership of More than Five Percent on Behalf of Another Person

Not Applicable

 

Item 7.

Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company

Not Applicable

 

Item 8.

Identification and Classification of Members of the Group

Not Applicable

 

Item 9.

Notice of Dissolution of Group

Not Applicable

 

Item 10.

Certification

Item 10(a)                    Not Applicable.

 

Item 10(b)                   By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were not  acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the  securities and were not acquired and are not held in connection with or as a participant in any transaction having that  purpose or effect.

 

 

5




Signature

After reasonable inquiry and to the best of the undersigned’s knowledge and belief, the undersigned certifies that the information set forth in this statement is true, complete and correct.

THE PAUL & JANE MEYER FAMILY FOUNDATION

 

 

 

 

 

By:

/s/Paul J. Meyer

 

 

 

Paul J. Meyer

 

 

Trustee

 

 

Dated: August 13, 2007

 

 

 

 

 

/s/ Jane Meyer

 

 

Jane Meyer, individually

 

Dated: August 13, 2007

 

6



EX-99.1 2 a07-21714_1ex99d1.htm EX-99.1

CUSIP NO. 75952   R   100

EXHIBIT 99.1

 

AGREEMENT FOR JOINT FILING PURSUANT TO RULE

13d-1(k)(1) UNDER THE SECURITIES EXCHANGE ACT OF 1934

Pursuant to 17 CFR 240.13d-1(k)(1) under the Securities Act of 1934, the undersigned, by their respective signatures affixed hereto, do hereby agree in writing that this Schedule 13G be and is filed on behalf of each of them.  The undersigned further recognize that each of them is responsible for the timely filing of this Schedule 13G and any amendments hereto, and for the completeness and accuracy of any information concerning them contained herein.  The undersigned further constitute and appoint The Paul & Jane Meyer Family Foundation as lawful attorney-in-fact and agent to execute and file this Schedule 13G and any amendments hereto on their behalf.

Dated as of this 13th day of August, 2007.

THE PAUL & JANE MEYER FAMILY FOUNDATION

 

 

 

 

 

By:

/s/Paul J. Meyer

 

 

 

Paul J. Meyer

 

 

Trustee

 

 

 

 

 

/s/ Jane Meyer

 

 

Jane Meyer, individually

 



-----END PRIVACY-ENHANCED MESSAGE-----