0001185185-17-002547.txt : 20171205 0001185185-17-002547.hdr.sgml : 20171205 20171205131651 ACCESSION NUMBER: 0001185185-17-002547 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171130 FILED AS OF DATE: 20171205 DATE AS OF CHANGE: 20171205 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: THEODORE PHILIP A CENTRAL INDEX KEY: 0001274568 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 002-93277-D FILM NUMBER: 171239220 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 4 1 form4-theodore120417.xml OWNERSHIP DOCUMENT X0306 4 2017-11-30 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 2017-11-30 4 A 0 1000000 0.05 A 1300000 D /s/ Philip A. Theodore 2017-12-05