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Ownership Document
|
| Schema Version: X0206 |
| Document Type: 3/A |
| Period of Report: 5/17/16 |
| Date of Original Submission: 5/17/16 |
| No Securities Owned: 0 |
| Issuer: |
| Issuer CIK: 1056757 |
| Issuer Name: SEYCHELLE ENVIRONMENTAL TECHNOLOGIES INC /CA |
| Issuer Trading Symbol: SYEV |
| Reporting Owner: |
| Reporting Owner ID: |
| | Owner CIK: 1675954 |
| | Owner Name: Beck John D |
| Reporting Owner Address: |
| | Owner Street 1: 22 JOURNEY |
| | Owner Street 2: |
| | Owner City: ALISO VIEJO |
| | Owner State: CA |
| | Owner ZIP Code: 92575 |
| | Owner State Description: |
| Reporting Owner Relationship: |
| | Is Director? Yes |
| | Is Officer? No |
| | Is Ten Percent Owner? Yes |
| | Is Other? No |
| | Officer Title: |
| | Other Text: |
| Non-Derivative Table: |
| Non-Derivative Holding: |
| | Security Title: |
| | | Value: Common Stock, $0.001 par value per share |
| | Post-Transaction Amounts: |
| | | Shares Owned Following Transaction: |
| Value: 10,450,578 |
| | Ownership Nature: |
| | | Direct or Indirect Ownership: |
| Value: I |
| | | Nature of Ownership: |
| Value: See footnote (1) below |
| Footnote ID: F1 |
| Non-Derivative Holding: |
| | Security Title: |
| | | Value: Common Stock, $0.001 par value per share |
| | Post-Transaction Amounts: |
| | | Shares Owned Following Transaction: |
| Value: 209,000 |
| | Ownership Nature: |
| | | Direct or Indirect Ownership: |
| Value: I |
| | | Nature of Ownership: |
| Value: Owned of record by wife |
| Derivative Table: |
| Derivative Holding: |
| | Security Title: |
| | | Value: Warrants |
| | Conversion or Exercise Price: |
| | | Value: 0.21 |
| | Exercise Date: |
| | | Value: 12/15/10 |
| | Expiration Date: |
| | | Value: 12/15/20 |
| | Underlying Security: |
| | | Underlying Security Title: |
| Value: Common |
| | | Underlying Security Shares: |
| Value: 4,857,221 |
| | Ownership Nature: |
| | | Direct or Indirect Ownership: |
| Value: I |
| | | Nature of Ownership: |
| Value: See Footnote (1) below |
| Footnotes: |
| Footnote - F1: Owned of record by The TAM Irrevocable Trust. The TAM Irrevocable Trust is an irrevocable trust for the benefit of certain family members of Mr. Carl Palmer. Mr. Palmer disclaims any beneficial ownership or interest in this Trust. Mr. John Beck is the husband of Ms. Cari Beck, the daughter of Mr. Palmer. She is the Trustee of the Trust and has total beneficiary rights, including all voting rights and investment power as the Trustee. The Trust is held in her name (50%) as well as that of Lindsay Helvey (25%) and Casey Helvey (25%), both granddaughters. Ms. Cari Beck who is also a director of the Company. |
| Owner Signature: |
| Signature Name: /s/ John D Beck |
| Signature Date: 5/29/19 |
