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