0001185185-17-000206.txt : 20170206 0001185185-17-000206.hdr.sgml : 20170206 20170206162410 ACCESSION NUMBER: 0001185185-17-000206 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170202 FILED AS OF DATE: 20170206 DATE AS OF CHANGE: 20170206 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: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 002-93277-D FILM NUMBER: 17575873 MAIL ADDRESS: STREET 1: 2076 COUNTY RD 8 CITY: PICTON STATE: A6 ZIP: K0K 2T0 4 1 form4-shannon020617.xml OWNERSHIP DOCUMENT X0306 4 2017-02-02 0 0000753772 MEDIZONE INTERNATIONAL INC MZEI 0001485899 Shannon Michael 2076 COUNTY RD 8 PICTON A6 K0K 2T0 ONTARIO, CANADA 1 1 0 0 PRESIDENT Option to Purchase Common Stock 0.10 2017-02-02 4 A 0 1000000 0 A 2017-02-02 2027-02-01 Common Stock 1000000 4750000 D All options fully vested upon grant /s/ Michael Shannon 2017-02-06