-----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, PlZrgl9xjnbm3OGmhUmpHflRsyiWuGyDgGKPAFHS3ATPcNAHI32GIWf7xMVDyrdH jYes1+E6TnGc7l9Gnyb9rw== 0001200952-04-000206.txt : 20040324 0001200952-04-000206.hdr.sgml : 20040324 20040324144624 ACCESSION NUMBER: 0001200952-04-000206 CONFORMED SUBMISSION TYPE: SC 13D/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20040324 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: FLEXIBLE SOLUTIONS INTERNATIONAL INC CENTRAL INDEX KEY: 0001069394 STANDARD INDUSTRIAL CLASSIFICATION: MISCELLANEOUS CHEMICAL PRODUCTS [2890] IRS NUMBER: 911922863 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13D/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-78201 FILM NUMBER: 04687080 BUSINESS ADDRESS: STREET 1: 2614 QUEENSWOOD DR CITY: VICTORIA B C V8N 1X5 STATE: A1 BUSINESS PHONE: 2504779969 MAIL ADDRESS: STREET 1: 2614 QUEENSWOOD DR CITY: VICTORIA BC CANADA STATE: A1 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: BIENTJES JOHN H CENTRAL INDEX KEY: 0001112320 FILING VALUES: FORM TYPE: SC 13D/A BUSINESS ADDRESS: STREET 1: 1-230 W 13TH ST STREET 2: N VANCOUVER B C CITY: V8N 1X5 BUSINESS PHONE: 2504779969 MAIL ADDRESS: STREET 1: 1-230 W 13TH ST STREET 2: N VANCOUVER B C CITY: V8N 1X5 SC 13D/A 1 fs_john13da40315.txt SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13D/A Amendment No. 1 Under the Securities Exchange Act of 1934 Flexible Solutions International Inc. ---------------------------------------------------------------- (Name of Issuer) Common Stock, ----------------------------------------------------------------- (Title of Class of Securities) 33938T104 ----------------------------------------------------------------- (CUSIP Number) Dan O'Brien 2614 Queenswood Victoria BC V8N 1X5 250 477 9969 ----------------------------------------------------------------- (Name, Address and Telephone Number of Person Authorized to Receive Notices and Communications) April 15, 2002 (see explanatory note) ----------------------------------------------------------------- (Date of Event which Requires Filing of this Statement) If the filing person has previously filed a statement on Schedule 13G to report the acquisition which is the subject of this Schedule 13D, and is filing this statement because of Rule 13d-1(b)(3) or (4), check the following box: [_] *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 disclosures provided in a prior cover page. The information required on 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). Page 1 SCHEDULE 13D/A CUSIP No. 33938T104 EXPLANATORY NOTE: This amendment supercedes and cancels a paper Schedule 13D filing that was made April 15, 2002. The original filing was not required; the Reporting Person did not beneficially own a sufficient number of shares at that time or at any subsequent time. SCHEDULE 13D/A CUSIP No. 33938T104 - - ------------------------------------------------------------------ 1 NAME OF REPORTING PERSONS S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS John Bientjes - - ------------------------------------------------------------------ 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [_] (b) [_] - - ------------------------------------------------------------------ 3 SEC USE ONLY - - ------------------------------------------------------------------ 4 SOURCE OF FUNDS OO - - ------------------------------------------------------------------ 5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) or 2(e) [_] - - ------------------------------------------------------------------ 6 CITIZENSHIP OR PLACE OF ORGANIZATION Canada - - ------------------------------------------------------------------ 7 SOLE VOTING POWER 35,000 ---------------------------------------- NUMBER OF 8 SHARED VOTING POWER SHARES BENEFICIALLY None OWNED BY ---------------------------------------- EACH 9 SOLE DISPOSITIVE POWER REPORTING PERSON 35,000 WITH ---------------------------------------- 10 SHARED DISPOSITIVE POWER None - - ------------------------------------------------------------------ 11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 35,000 - - ------------------------------------------------------------------ 12 CHECK THIS BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES* [_] - - ------------------------------------------------------------------ 13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) 0.2% - - ------------------------------------------------------------------ 14 TYPE OF REPORTING PERSON* IN - - ------------------------------------------------------------------ *SEE INSTRUCTIONS BEFORE FILLING OUT! Page 2 CUSIP No. 33938T104 SCHEDULE 13D/A ITEM 1. SECURITY AND ISSUER Option to acquire 5,000 shares of Common Stock, at a price of $4.25 per share Flexible Solutions International Inc. 2614 Queenswood Drive Victoria, BC V8N 1X5 ITEM 2. IDENTITY AND BACKGROUND (a) John Bientjes (b) 2614 Queenswood Dr. Victoria BC V8N 1X5 (c) John Bientjes, Director of Flexible Solutions International Inc. and employed by Commercial Aquatics Ltd, 201-1305 Welch St. N. Vancouver BC. (d) During the last five years the Reporting Person has not been convicted in a criminal proceeding (excluding traffic violations or similar misdemeanors). (e) During the last five years the Reporting Person has not been a party to a civil proceeding of a judicial or administrative body of competent jurisdiction nor has any final order, judgment, or decree been entered enjoining future violations of, or prohibiting or mandating activities subject to, federal or state securities laws or finding any violation with respect to such laws. (f) Citizenship: Canada ITEM 3. SOURCE AND AMOUNT OF FUNDS OR OTHER CONSIDERATION Shares were issued in consideration of services rendered and the agreement to serve as a director. ITEM 4. PURPOSE OF TRANSACTION This amendment is required because the reporting person does not and has not been the beneficial owner of a sufficient number of shares of the issuer to require filing. ITEM 5. INTEREST IN SECURITIES OF THE ISSUER (a) Aggregate number of shares owned: 35,000 Percent of outstanding shares owned: 0.2% (b) Sole Power of voting for Reporting Person: 35,000 (c) Transactions in securities in the past 60 days for Reporting Person: 0 (d) No other person is known to have power to direct receipt of dividends from, or proceeds from sale of such securities. (e) Not applicable. Page 3 CUSIP No. 33938T104 ITEM 6. CONTRACTS, ARRANGEMENTS, UNDERSTANDINGS OR RELATIONSHIPS WITH RESPECT TO SECURITIES OF THE ISSUER. None. ITEM 7. MATERIAL TO BE FILED AS EXHIBITS None. SIGNATURE After reasonable inquiry and to the best of the knowledge and belief, I certify that the information as set forth in this statement is true, complete and correct. Dated: March 15, 2004 John Bientjes by:/s/ JOHN BIENTJES -------------------- Director -----END PRIVACY-ENHANCED MESSAGE-----