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