0001179110-11-016878.txt : 20111219 0001179110-11-016878.hdr.sgml : 20111219 20111219160528 ACCESSION NUMBER: 0001179110-11-016878 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20011219 FILED AS OF DATE: 20111219 DATE AS OF CHANGE: 20111219 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Solomon Richard G CENTRAL INDEX KEY: 0001486645 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 002-93277-D FILM NUMBER: 111269322 MAIL ADDRESS: STREET 1: 77 SEAVIEW ROAD, REMUERA CITY: AUCKLAND STATE: Q2 ZIP: 1050 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MEDIZONE INTERNATIONAL INC CENTRAL INDEX KEY: 0000753772 STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-DRUGS PROPRIETARIES & DRUGGISTS' SUNDRIES [5122] IRS NUMBER: 870412648 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2330 MARINSHIP WAY STREET 2: SUITE 300 CITY: SAUSALITO STATE: CA ZIP: 94965 BUSINESS PHONE: (415) 331-0303 MAIL ADDRESS: STREET 1: 2330 MARINSHIP WAY STREET 2: SUITE 300 CITY: SAUSALITO STATE: CA ZIP: 94965 FORMER COMPANY: FORMER CONFORMED NAME: MADISON FUNDING INC DATE OF NAME CHANGE: 19860413 4 1 edgar.xml FORM 4 - X0304 4 2001-12-19 0 0000753772 MEDIZONE INTERNATIONAL INC MZEI 0001486645 Solomon Richard G 144 BUENA VISTA, P.O. BOX 742 STINSON BEACH CA 94970 1 0 0 0 Common Stock 2001-12-19 4 P 0 500000 0.10 A 4633844 D The Reporting Person has entered into a purchase agreement with the Issuer to purchase 1,500,000 shares of common stock bearing restrictive legend under SEC Rule 144 at the offering price of $0.10 per share. Per the contract terms, the Reporting Person has paid $50,000 for the initial 500,000 share purchase. The balance of $100,000 to purchase the remaining 1,000,000 shares is due mid-February. A separate report will be filed in connection with that payment and purchase. /S/ RICHARD SOLOMON 2011-12-19