0001185185-18-000017.txt : 20180104
0001185185-18-000017.hdr.sgml : 20180104
20180104163610
ACCESSION NUMBER: 0001185185-18-000017
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180103
FILED AS OF DATE: 20180104
DATE AS OF CHANGE: 20180104
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Sorensen Stephanie Lynn
CENTRAL INDEX KEY: 0001697200
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 002-93277-D
FILM NUMBER: 18510600
MAIL ADDRESS:
STREET 1: 4000 BRIDGEWAY
STREET 2: SUITE 401
CITY: SAUSALITO
STATE: CA
ZIP: 94965
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-sorensen010318.xml
OWNERSHIP DOCUMENT
X0306
4
2018-01-03
0
0000753772
MEDIZONE INTERNATIONAL INC
MZEI
0001697200
Sorensen Stephanie Lynn
4000 BRIDGEWAY
SUITE 401
SAUSALITO
CA
94965
0
1
0
0
CHIEF FINANCIAL OFFICER
Option to Purchase Common Stock
0.10
2018-01-03
4
J
0
250000
0.0
A
2017-02-02
2027-02-01
Common Stock
250000
250000
D
Options were voluntarily surrendered.
/s/ Stephanie Sorensen
2018-01-04