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
