-----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, N4ut49HG8X4UN0NGg4fEBFEGQ5jeQu8MvC2dp50BEioV1cn4riuH+vGborKpHQlr AH3qD3NcVc19czQ8hHTaRw== 0001088127-00-000004.txt : 20000105 0001088127-00-000004.hdr.sgml : 20000105 ACCESSION NUMBER: 0001088127-00-000004 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19990930 FILED AS OF DATE: 20000104 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: PENTECH INTERNATIONAL INC CENTRAL INDEX KEY: 0000760461 STANDARD INDUSTRIAL CLASSIFICATION: PENS, PENCILS & OTHER ARTISTS' MATERIALS [3950] IRS NUMBER: 232259391 STATE OF INCORPORATION: DE FISCAL YEAR END: 0930 FILING VALUES: FORM TYPE: 4 SEC ACT: SEC FILE NUMBER: 000-15374 FILM NUMBER: 500962 BUSINESS ADDRESS: STREET 1: 195 CARTER DRIVE CITY: EDISON STATE: NJ ZIP: 08817 BUSINESS PHONE: 9082876640 MAIL ADDRESS: STREET 2: 195 CARTER DR CITY: EDISON STATE: NJ ZIP: 08817 COMPANY DATA: COMPANY CONFORMED NAME: KUYPERS JOHN F CENTRAL INDEX KEY: 0001102057 STANDARD INDUSTRIAL CLASSIFICATION: [] DIRECTOR FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: UNIER CORP STREET 2: 805 UNIER DRIVE CITY: WAYNAKEE STATE: WI ZIP: 53597 MAIL ADDRESS: STREET 1: UNIER CORP STREET 2: 805 UNIER DRIVE CITY: WAYNAKEE STATE: WI ZIP: 53597 4 1 FORM 4 U.S. SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 1. Name and Address of Reporting Person: Kuypers John (Last) (First) 805 Uniek Drive Waunakee WI 53597 (Street) (City) (State) (Zip) 2. Issuer Name and Ticker or Trading Symbol: Pentech International Inc./PNTK 3. IRS or Social Security Number of Reporting Person (Voluntary): 4. Statement for Month/Year: September / 1999 5. If Amendment, Date of Original (Month/Year): 6. Relationship of Reporting Person to Issuer (Check all applicable): X Director 10% Owner Officer (give title below) Other (Specified below) Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned: 1. Title of Security: Common Stock Common Stock Common Stock 2. Transaction Date: 9/23/99 9/27/99 9/30/99 (Month/Day/Year) 3. Transaction Code: Code V S S S 4. Securities Acquired (A) or Disposed of (D): Amount (A) or (D) Price 15,000 D $1.187 7,500 D $1.187 10,000 D $1.187 5. Amount of Securities Beneficially Owned at End of Month: 67,500 6. Ownership Form-Direct (D) or Indirect (I): D 7. Nature of Indirect Beneficial Ownership: Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities): 1. Title of Derivative Security: 2. Conversion or Exercise Price of Derivative Security: 3. Transaction Date (Month/Day/Year): 4. Transaction Code: Code V 5. Number of Derivative Securities Acquired (A) or Disposed of (D): 6. Date Exercisable and Expiration Date (Month/Day/Year): (Date Exercisable) (Expiration Date) 7. Title and Amount of Underlying Securities: (Title) (Amount of Number of Shares) 8. Price of Derivative Security: 9. Number of Derivative Securities Beneficially Owned at End of Month: 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I): 11. Nature of Indirect Beneficial Ownership: Explanation of Responses: s/John F. Kuypers 1/2/00 Signature of Reporting Person Date -----END PRIVACY-ENHANCED MESSAGE-----