U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
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FORM 8-K
CURRENT REPORT
Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934
Date of Report (Date of Earliest Event Reported): May 4, 2004
RELIV INTERNATIONAL, INC.
(Exact Name of Registrant as Specified in its Charter)
Delaware 1-11768 37-1172197
(State or Other (Commission File Number) (IRS Employer
Jurisdiction Identification No.)
Incorporation)
136 Chesterfield Industrial Blvd., Chesterfield, MO 63005
(Address of Principal Executive Offices) (Zip Code)
(636) 537-9715
(Registrant's Telephone Number, including Area Code)
Item No. 5 - Other Events
On May 4, 2004, Reliv International, Inc. issued a press release reporting
that its Board of Directors declared a special stock dividend of $0.03 per share
for each share of its issued and outstanding common stock. The Registrant stated
a record date of May 17, 2004, and a distribution date of May 31, 2004.
Item No. 7 - Exhibit
(c) The following exhibit is attached hereto:
Exhibit No. Exhibit
99 Press Release dated May 4, 2004, captioned:
"Reliv International Declares Dividend"
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SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the
Registrant has duly caused this report to be signed on its behalf by the
undersigned hereunto duly authorized.
Reliv International, Inc.
(Registrant)
Date: May 4, 2004 By: /s/Stephen M. Merrick
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Stephen M. Merrick, Senior Vice
President
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