-----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, NMQA/HdaGNQAAIzSO97VtBrwRNu0wMfnAs6dNcKn5Rftjy4Js12LVSvTdczzZA7F QNI4Of6U0ZMohCw6zaq3DA== 0001200952-05-000728.txt : 20050817 0001200952-05-000728.hdr.sgml : 20050817 20050817165342 ACCESSION NUMBER: 0001200952-05-000728 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050815 FILED AS OF DATE: 20050817 DATE AS OF CHANGE: 20050817 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BIENTJES JOHN H CENTRAL INDEX KEY: 0001112320 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-31540 FILM NUMBER: 051033871 BUSINESS ADDRESS: BUSINESS PHONE: 2504779969 MAIL ADDRESS: STREET 1: 1-230 W 13TH ST STREET 2: N VANCOUVER B C CITY: V8N 1X5 ISSUER: 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 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 4 1 c2164fs-jb_ex.xml X0202 4 2005-08-15 0 0001069394 FLEXIBLE SOLUTIONS INTERNATIONAL INC FSI 0001112320 BIENTJES JOHN H 615 DISCOVERY STREET VICTORIA A1 V8T 5G4 BRITISH COLUMBIA, CANADA 1 0 0 0 Common Stock 2005-08-15 4 S 0 5000 4.45 D 25000 D Option (Right to Buy Common Stock) Common Stock 15000 15000 D Expiration Dates: 5,000 shares expire 12-31-2007; 5,000 expire 12-31-2008; 5,000 expire 11-26-2009. Vesting Dates: 5,000 shares vest 12-31-03; 5,000 vest 12-31-04; 5,000 vest 12-31-2005. Conversion prices: $4.25; $3.60; $3.00. /s/JOHN H. BIENTJES 2005-08-17 -----END PRIVACY-ENHANCED MESSAGE-----