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