0001185185-17-002526.txt : 20171130 0001185185-17-002526.hdr.sgml : 20171130 20171130190141 ACCESSION NUMBER: 0001185185-17-002526 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171101 FILED AS OF DATE: 20171130 DATE AS OF CHANGE: 20171130 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: THEODORE PHILIP A CENTRAL INDEX KEY: 0001274568 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 002-93277-D FILM NUMBER: 171232346 MAIL ADDRESS: STREET 1: SEROLOGICALS CORP CITY: NORCROSS STATE: GA ZIP: 30092 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: 350 EAST MICHIGAN AVENUE STREET 2: SUITE 500 CITY: KALAMAZOO STATE: MI ZIP: 49007 BUSINESS PHONE: (269) 202-5020 MAIL ADDRESS: STREET 1: 350 EAST MICHIGAN AVENUE STREET 2: SUITE 500 CITY: KALAMAZOO STATE: MI ZIP: 49007 FORMER COMPANY: FORMER CONFORMED NAME: MADISON FUNDING INC DATE OF NAME CHANGE: 19860413 3 1 form3-theodore113017.xml OWNERSHIP DOCUMENT X0206 3 2017-11-01 0 0000753772 MEDIZONE INTERNATIONAL INC MZEI 0001274568 THEODORE PHILIP A 25 WENTWORTH STREET CHARLESTON SC 29401 0 1 0 0 Executive Vice President Common Stock 300000 D Subject to a six-month vesting period. /s/ Philip A. Theodore 2017-11-30