-----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, TAc0/Ev8trpsQ50RUHJ34FDS+MP0QFyhL/WdF7PiddVOLHiWpE2VO6akam3FPaDP TxuVqc0OUYUhx/YZilX3eQ== 0001200952-03-000255.txt : 20030226 0001200952-03-000255.hdr.sgml : 20030226 20030226172012 ACCESSION NUMBER: 0001200952-03-000255 CONFORMED SUBMISSION TYPE: SC 13D PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20030226 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 SEC ACT: 1934 Act SEC FILE NUMBER: 005-78201 FILM NUMBER: 03581571 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: O BRIEN DANIEL B CENTRAL INDEX KEY: 0001112317 FILING VALUES: FORM TYPE: SC 13D BUSINESS ADDRESS: STREET 1: 2614 QUEENSWOOD DR STREET 2: VICTORIA B C CITY: V8N 1X6 BUSINESS PHONE: 2504779969 MAIL ADDRESS: STREET 1: 2614 QUEENSWOOD DR STREET 2: VICTORIA B C CITY: V8N 1X6 SC 13D 1 fs_dan13d30226.txt SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13D 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) February 25th 2003 ----------------------------------------------------------------- (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 CUSIP No. 33938T104 - - ------------------------------------------------------------------ 1 NAME OF REPORTING PERSONS S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS Dan O'Brien - - ------------------------------------------------------------------ 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [_] (b) [_] - - ------------------------------------------------------------------ 3 SEC USE ONLY - - ------------------------------------------------------------------ 4 SOURCE OF FUNDS PF - - ------------------------------------------------------------------ 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 Dan O'Brien 4,676,000 ---------------------------------------- NUMBER OF 8 SHARED VOTING POWER SHARES BENEFICIALLY None OWNED BY ---------------------------------------- EACH 9 SOLE DISPOSITIVE POWER REPORTING PERSON Dan O'Brien - 4,676,000 WITH ---------------------------------------- 10 SHARED DISPOSITIVE POWER None - - ------------------------------------------------------------------ 11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON Dan O'Brien -4,676,000 - - ------------------------------------------------------------------ 12 CHECK THIS BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES* [_] - - ------------------------------------------------------------------ 13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) Dan O'Brien (40.4%) - - ------------------------------------------------------------------ 14 TYPE OF REPORTING PERSON* IN - - ------------------------------------------------------------------ *SEE INSTRUCTIONS BEFORE FILLING OUT! Page 2 CUSIP No. 33938T104 SCHEDULE 13D ITEM 1. SECURITY AND ISSUER Acquisition of 50,000 options to buy 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) Dan O'Brien (b) 2614 Queenswood Dr. Victoria BC V8N 1X5 (c) Dan O'Brien CEO President and Director of Flexible Solutions International Inc. (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 The Shares were received in return for services redured as CEO, Director and Secretary of the Company. ITEM 4. PURPOSE OF TRANSACTION The reporting person acquired the shares to increase their oportunity to share in the future success of the Company. There are no plans or proposals known to the Reporting Person which relate to or would result in: (a) The acquisition by any person of additional securities of the Issuer, or the disposition of securities of the Issuer; (b) An extraordinary corporate transaction, such as a merger, reorganization or liquidation, involving the Issuer or any of its subsidiaries; (c) A sale or transfer of a material amount of assets of the Issuer or any of its subsidiaries; (d) Any change in the present board of directors or management of the Issuer, including any plans or proposals to change the number of term of directors or to fill any existing vacancies on the board; Page 3 CUSIP No. 33938T104 (e) Any material change in the present capitalization or dividend policy of the Issuer; (f) Any other material change in the Issuer's business or corporate structure including but not limited to, if the Issuer is a registered closed-end investment company, any plans or proposals to make any changes in its investment policy for which a vote is required by Section 13 of the Investment Company Act of 1940; (g) Changes in the Issuer's charter, bylaws or instruments corresponding thereto or other actions which may impede the acquisition or control of the Issuer by any person; (h) Causing a class of securities of the Issuer to be delisted from a national securities exchange or to cease to be authorized to be quoted in an inter/dealer quotation system of a registered national securities association; (i) A class of equity securities of the Issuer becoming eligible for termination of registration pursuant to Section 12(g)(4) of the Act; or (j) Any action similar to any of those enumerated above. ITEM 5. INTEREST IN SECURITIES OF THE ISSUER (a) Aggregate number of shares owned: 4,676,000 Percent of outstanding shares owned: 40.4% (b) Sole Power of voting for Reporting Person: 4,676,000 (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 4 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: February 25st 2003 Dan O'Brien by:/s/ DAN O'BRIEN ------------------ CEO, President,Director -----END PRIVACY-ENHANCED MESSAGE-----