1 SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 CONFORMED COPY FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported) September 3, 1998 POLYMER SOLUTIONS INC. (Exact name of Registrant as specified in its charter) Nevada U.S.A. 0-18583 88-0360526 - ------ ------ ------- ---------- (State or other jurisdiction (Commission file number) (IRS Employer of incorporation) Identification No.) Suite 300, 1055 West Hastings Street, Vancouver, British Columbia, CANADA V6E 2E9 - -------------------------------------------------------------------------------- (Address of Principal Executive Office) (Zip Code) Registrant's telephone number, including area code (604) 683-3473 not applicable - -------------------------------------------------------------------------------- (Former name or former address, if changed since last report) 2 ITEM 5. REGISTRANT REPORT OF ANY OTHER EVENT WHICH IT DEEMS OF IMPORTANCE TO ITS SECURITY HOLDERS. On September 3, 1998 the Company completed a Private Placement with the following 3 placees and issued an aggregate of 400,000 in Special Warrants. Each Special Warrant purchased at a price of Cdn$1.00 was exercised into one unit consisting of one common share and one common share purchase warrant of the Issuer. Each share purchase warrant will be non-transferrable and will entitle the holder to purchase one-half of one additional common share until July 15, 2000, at a purchase price of $1.00 per share in the first twelve months and thereafter at a price of $1.25 per share. Commission entitled the Broker to receive 8% of the number of Special Warrants placed, payable in Special Warrants. The Agent received Agent's Special Warrants equal to 20% of the Special Warrants Placed. The Agent's Special Warrant can be exercised into one common share upon payment of $1.00 in the year following closing and $1.25 in the second year. NAME & ADDRESS NUMBER OF SHARES PRICE PER HOLD PERIOD EXPIRY SHARE CDN - ------------------------------------ ----------------------------------- ---------- ---------------------- Pryde Capital Corp. 1 x 100,000 common shares & $1.00 November 14, 1998 2111 Jordan Drive warrants to purchase 50,000 common Burnaby, B.C. V5B 4G1 shares Jordan Enterprises Limited 15399 - 102A Avenue, Suite 101 1 x 200,000 common shares & $1.00 November 14, 1998 Surrey,,B.C. V3R 7K1 warrants to purchase 100,000 common shares Jordan Development Corporation Ltd. #401-1050 West 2nd Avenue 1 x 100,000 common shares & $1.00 November 14, 1998 Vancouver, B.C. V6H 3Y4 warrants to purchase 50,000 common shares Brink, Hudson & Lefever Ltd. 1 x 32,000 common shares & warrants 8% of November 14, 1998 595 Burrard Street, Suite #1200 to purchase 16,000 common shares Special Vancouver, B.C. V7X 1J1 Warrants Brink, Hudson & Lefever Ltd. Agents Special Warrants to purchase 20% of November 14, 1998 595 Burrard Street, Suite #1200 80,000 common shares Special Vancouver, B.C. V7X 1J1 Warrants Totals 432,000 common shares & warrants to 3 Placees purchase 296,000 common shares SIGNATURES Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized. POLYMER SOLUTIONS, INC. Date September 18, 1998 /s/ Gordon L. Ellis ----------------------------- --------------------------------------- (Signature) Gordon L. Ellis, Chairman of the Board