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