UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 12b-25
NOTIFICATION OF LATE FILING
(Check one)
[ ] Form 10-K and Form 10-KSB [ ] Form 20-F [ ] Form 11-K [X] Form
10-Q and Form 10-QSB [ ] Form N-SAR
For Period Ended September 29, 2001
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__ Transition Report on Form 10-K and Form 10-KSB
__ Transition Report on Form 20-F
__ Transition Report on Form 11-K
__ Transition Report on Form 10-Q and Form 10-QSB
__ Transition Report on Form N-SAR
For the Transition Period Ended:
Read Instructions (on back page) Before Preparing Form, Please Print
or Type.
Nothing in this form shall be construed to imply that the Commission
has verified any information contained herein.
If the notification relates to a portion of the filing checked above,
identify the item(s) to which the notification relates:________________
PART I--REGISTRANT INFORMATION
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Full Name of Registrant:
Aqua Clara Bottling & Distribution, Inc.
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Former Name of Registrant:
N/A
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Address of Principal Executive Office (Street and Number):
1315 Cleveland Street, Clearwater, Florida 33755
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PART II--RULES 12b-25(b) AND (c)
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If the subject report could not be filed without unreasonable effort
or expense and the registrant seeks relief pursuant to Rule 12b-25b,
the following should be completed.
(Check box if appropriate): [X]
(a) The reasons described in reasonable detail in Part
III of this form could not be eliminated without unreasonable
effort or expenses;
(b) The subject annual report, semi-annual report, transition
report on Forms 10-K, 10-KSB, Form 20-F, 11-K, Form N-SAR,
or portion thereof, will be filed on or before the
fifteenth calendar day following the prescribed due date;
or the subject quarterly report or transition report on
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Forms 10-Q, 10-QSB, or portion thereof will be filed on or
before the fifth calendar day following the prescribed due
date; and
(c) The accountant's statement or other exhibit required
by Rule 12b-25(c) has been attached if applicable.
PART III--NARRATIVE
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State below in reasonable detail the reasons why the Forms 10-K, 10-
KSB, 20-F, 11-K, 10-Q,10-QSB, N-SAR, or the transition report or
portion thereof, could not be filed within the prescribed time
period. (Attach Extra Sheets if Needed)
Management is in the process of completing its Form 10QSB for
The period ended September 29, 2001. It is anticipated that
Management will complete preparation and filing of the Form
10-QSB for the period ended September 29, 2001 within the
time allowed by this extension.
PART IV--OTHER INFORMATION
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(1) Name and telephone number of person to contact in regard to
this notification
John C. Plunkett (727) 446-2999
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(Name) (Area Code) (Telephone Number)
(2) Have all other periodic reports required under Section 13 or
15(d) of the Securities Exchange Act of 1934 or Section 30 of the
Investment Company Act of 1940 during the preceding 12 months (or
for such shorter period that the registrant was required to file
such reports) been filed? If answer is no, identify report(s).
[X] Yes [ ] No
(3) Is it anticipated that any significant change in results of
operations from the corresponding period for the last fiscal year
will be reflected by the earnings statements to be included in the
subject report or portion thereof?
[ ] Yes [X] No
If so, attach an explanation of the anticipated change, both
narratively and quantitatively, and, if appropriate, state the
reasons why a reasonable estimate of the results cannot be made.
Aqua Clara Bottling & Distribution, Inc.
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(Name of Registrant as Specified In Charter)
has caused this notification to be signed on its behalf by the
undersigned hereto duly authorized
Dated: November 12, 2001 Aqua Clara Bottling & Distribution, Inc.
By: /s/John C. Plunkett
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John C. Plunkett, President COO
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INSTRUCTION: The form may be signed by an executive officer of the
registrant or by any other duly authorized representative. The name
and title of the person signing the form shall be typed or printed
beneath the signature. If the statement is signed on behalf of the
registrant by an authorized representative (other than an executive
officer), evidence of the representative's authority to sign on behalf
of the registrant shall be filed with the form.
ATTENTION
Intention misstatements or omissions of fact constitute
Federal Criminal Violations (See 18 U.S.C. 1001).
GENERAL INSTRUCTIONS
1. This form is required by Rule 12b-25 (17 CFR 240.12b-25 of the
General Rules and Regulations under the Securities Exchange Act of
1934.
2. One signed original and four conformed copies of this form and
amendments thereto must be completed and filed with the Securities
and Exchange Commission, Washington, D.C. 20549, in accordance with
Rule 0-3 of the General Rules and Regulations under the Act. The
information contained in or filed with the form will be made a matter
of public record in the Commission files.
3. A manually signed copy of the form and amendments thereto shall
be filed with each national securities exchange on which any class
of securities of the registrant is registered.
4. Amendments to the notifications must also be filed on form 12b-
25 but need not restate information that has been correctly furnished.
The form shall be clearly identified as an amendment notification.
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