0001185185-18-000009.txt : 20180102 0001185185-18-000009.hdr.sgml : 20180102 20180102183406 ACCESSION NUMBER: 0001185185-18-000009 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171222 FILED AS OF DATE: 20180102 DATE AS OF CHANGE: 20180102 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: 18502985 MAIL ADDRESS: STREET 1: 2076 COUNTY RD 8 CITY: PICTON STATE: A6 ZIP: K0K 2T0 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-shannon010218.xml OWNERSHIP DOCUMENT X0306 4 2017-12-22 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 0.163 2014-04-30 4 J 0 250000 0 D 2014-04-30 2019-04-30 Common Stock 250000 3500000 D Option to Purchase Common Stock 0.13 2014-08-18 4 J 0 350000 0 D 2014-08-18 2019-08-15 Common Stock 350000 3150000 D Options were voluntarily surrendered by executive. /s/ Michael Shannon 2018-01-02