0001179110-16-019238.txt : 20160216 0001179110-16-019238.hdr.sgml : 20160215 20160216143418 ACCESSION NUMBER: 0001179110-16-019238 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20151231 FILED AS OF DATE: 20160216 DATE AS OF CHANGE: 20160216 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: 4000 BRIDGEWAY STREET 2: SUITE 401 CITY: SAUSALITO STATE: CA ZIP: 94965 BUSINESS PHONE: (415) 331-0303 MAIL ADDRESS: STREET 1: 4000 BRIDGEWAY STREET 2: SUITE 401 CITY: SAUSALITO STATE: CA ZIP: 94965 FORMER COMPANY: FORMER CONFORMED NAME: MADISON FUNDING INC DATE OF NAME CHANGE: 19860413 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Shannon Michael CENTRAL INDEX KEY: 0001485899 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 002-93277-D FILM NUMBER: 161426682 MAIL ADDRESS: STREET 1: 2076 COUNTY RD 8 CITY: PICTON STATE: A6 ZIP: K0K 2T0 5 1 edgar.xml FORM 5 - X0306 5 2015-12-31 0 0 1 0000753772 MEDIZONE INTERNATIONAL INC MZEI 0001485899 Shannon Michael 2076 COUNTRY ROAD 8 PICTON A6 K0K 2T0 ONTARIO, CANADA 1 1 0 0 President Option to Purchase Common Stock 0.0877 2015-08-18 4 A 0 L 1500000 0 A 2015-08-18 2020-08-18 Common Stock 1500000 1500000 D /s/ MICHAEL SHANNON 2016-02-16