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