UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, DC 20549
FORM 144
NOTICE OF PROPOSED SALE OF SECURITIES
PURSUANT TO RULE 144 UNDER THE SECURITIES ACT OF 1933
ATTENTION: TRANSMIT FOR FILING 3 COPIES OF THIS FORM CONCURRENTLY WITH EITHER
PLACING AN ORDER WITH A BROKER TO EXECUTE A SALE OR EXECUTING A SALE
DIRECTLY WITH A MARKET MAKER.
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1(a) NAME OF ISSUER (Please type or print) (b) IRS IDENT. NO. (c) S.E.C. FILE NO.
Flexible Solutions International, Inc. 911922863 001-31540
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(d) ADDRESS OF ISSUER STREET CITY STATE ZIP CODE (e) TELEPHONE NO.
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2614 Queenswood Street Victoria BC Canada V8N 1X5 Area Code Number
(803) 896-6000
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2(a) NAME OF PERSON FOR WHOSE ACCOUNT THE (b) I.R.S. NO. (c) RELATIONSHIP (d) ADDRESS STREET CITY STATE ZIP CODE
SECURITIES ARE TO BE SOLD TO ISSUER
John H. Bientjes None Director #1-230 W. 13th St., Vancouver BC V7M IN7
Canada
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INSTRUCTION: The person filing this notice should contact the issuer to obtain the I.R.S. Identification Number
and the SEC File Number
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Name and Address of SEC USE
Title of the Class Each Broker Through ONLY
of Securities To whom the Securities Are --------- Number of Shares or Aggregate Market
Be Sold To Be Offered or Each Broker- Other Units To Be Value
Market Maker who is Dealer Sold (See instr. 3(d))
Acquiring the Securities File (See instr. 3(c))
Number
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Common Stock Pacific Int'l Securities, Inc.
1900-666 Burrard Street
Vancouver, BC Canada 5,000 $25,250
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Number of
Shares or Approximate Date of Name of Each Securities
Other Units Sale Exchange
Outstanding (See instr. 3(f)) (See instr. 3(g))
(See instr. (MO. DAY YR.)
3(e))
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11,794,916 4/19/04 AMEX
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INSTRUCTIONS:
1. (a) Name of issuer.
(b) Issuer's IRS Identification Number.
(c) Issuer's SEC file number, if any.
(d) Issuer's address, including zip code.
(e) Issuer's telephone number, including area code.
2. (a) Name of person for whose account the securities are to be sold.
(b) Such person's or I.R.S. Identification number, if such a person is an entity.
(c) Such person's relationship to the issuer (e.g., officer, director, 10 percent stockholder,
or member of immediate family of any of the foregoing).
(d) Such person's address, including zip code.
3. (a) Title of the class of securities to be sold
(b) Name and address of each broker through whom the securities are intended to be sold.
(c) Number of shares or other units to be sold (if debt securities, give the aggregate face amount).
(d) Aggregate market value of the securities to be sold as of a specified date within 10 days prior
to the filing of this notice.
(e) Number of shares or other units of the class outstanding, or if debt securities the face amount
thereof outstanding, as shown by the most recent report or statement published by the issuer.
(f) Approximate date on which the securities are to be sold.
(g) Name of each securities exchange, if any, on which the securities are intended to be sold.
TABLE I--SECURITIES TO BE SOLD
Furnish the following information with respect to the acquisition of the
securities to be sold and with respect to the payment of all or any part of the
purchase price or other consideration therefor:
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Title of Date You Nature of Acquisition Name of Person From Amount of Date of Nature of Payment
the Class Acquired Transaction Whom Acquired Securities Payment
(If Gift, Also Give Acquired
Date Donor Acquired)
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Common Stock July 1999 Purchase Flexible Solutions 80,000 July 1999 Bank Draft
International, Inc.
Common Stock April 2002 Exercise of Director's Flexible Solutions 5,000 April 2002 Bank Draft
Option to Purchase International, Inc.
Common Stock Feb. 2004 Exercise of Director's Flexible Solutions 5,000 Feb. 2004 Bank Draft
Option to Purchase International, Inc.
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INSTRUCTIONS:
If the securities were purchased and full payment therefore was not made in
cash at the time of purchase, explain in the table or in a note thereto the
nature of the consideration given. If the consideration consisted of any
note or other obligation, or if payment was made in installments describe
the arrangement and state when the note or other obligation was discharged
in full or the last installment paid.
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TABLE II--SECURITIES SOLD DURING THE PAST THREE MONTHS
Furnish The Following Information as to All Securities of The Issuer Sold During
The Past Three Months By The Person For Whose Account The Securities Are To Be
Sold.
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Name and Address of Seller Title of Securities Sold Date of Sale Amount of Gross Proceeds
Securities
Sold
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None.
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REMARKS:
INSTRUCTIONS:
See the definition of "person" in paragraph (a) of Rule 144. Information is to
be given not only as to the person for whose account the securities are to be
sold but also as to all other persons included in that definition. In addition,
information shall be given as to sales by all persons whose sales are required
by paragraph (e) of Rule 144 to be aggregated with sales for the account of the
person filing this notice.
ATTENTION:
The person for whose account the securities to which this notice relates are to
be sold hereby represents by signing this notice that he does not know any
material adverse information in regard to the current and prospective
operations of the issuer of the securities to be sold which has not been
publicly disclosed.
April 19, 2004 /s/ JOHN H. BIENTJES
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(DATE OF NOTICE) (SIGNATURE)
The notice shall be signed by the persons for whose account the securities are
to be sold. At least one copy of the notice shall be manually signed. Any copies
not manually signed shall bear typed or printed signatures.
ATTENTION: INTERNATIONAL MISSTATEMENTS OR OMISSION OF FACTS CONSTITUTE FEDERAL
CRIMINAL VIOLATIONS (SEE 18 U.S.C. 1001).