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Shannon Michael – ‘4’ for 3/1/18 re: Medizone International Inc.

On:  Friday, 3/2/18, at 3:15pm ET   ·   For:  3/1/18   ·   Accession #:  1185185-18-354   ·   File #:  2-93277-D

Previous ‘4’:  ‘4’ on 1/2/18 for 12/22/17   ·   Latest ‘4’:  This Filing

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  As Of               Filer                 Filing    For·On·As Docs:Size             Issuer                      Filing Agent

 3/02/18  Shannon Michael                   4                      1:5K   Medizone International Inc.       Federal Filings, LLC/FA

Statement of Changes in Beneficial Ownership of Securities by an Insider   —   Form 4   —   SEA’34
Filing Table of Contents

Document/Exhibit                   Description                      Pages   Size 

 1: 4           Ownership Document -- form4-shannon030118.xml/3.6   HTML      3K 




        

This ‘4’ Document is an XML Data File that may be rendered in various formats:

  Form 4    –   Plain Text   –  SEC Website  –  EDGAR System  –    XML Data    –  <?xml?> File
 

 
Plain Text rendering:  Ownership Document — form4-shannon030118.xml/3.6
 
                                                                                                                                                                                
Ownership Document
 
Schema Version:  X0306
Document Type:  4
Period of Report:  3/1/18
Not Subject to Section 16:  0
Issuer:
Issuer CIK:  753772
Issuer Name:  MEDIZONE INTERNATIONAL INC
Issuer Trading Symbol:  MZEI
Reporting Owner:
Reporting Owner ID:
Owner CIK:  1485899
Owner Name:  Shannon Michael
Reporting Owner Address:
Owner Street 1:  4 BRIDGE ST, UNIT #1
Owner Street 2:
Owner City:  PICTON
Owner State:  A6
Owner ZIP Code:  K0K 2T0
Owner State Description:  ONTARIO, CANADA
Reporting Owner Relationship:
Is Director?  Yes
Is Officer?  Yes
Is Ten Percent Owner?  No
Is Other?  No
Officer Title:  PRESIDENT
Other Text:
Derivative Table:
Derivative Transaction:
Security Title:
Value:  Option to Purchase Common Stock
Conversion or Exercise Price:
Value:  0.13
Transaction Date:
Value:  8/18/14
Deemed Execution Date:
Transaction Coding:
Transaction Form Type:  4
Transaction Code:  J
Equity Swap Involved?  No
Footnote ID:  F1
Transaction Timeliness:
Transaction Amounts:
Transaction Shares:
Value:  650,000
Transaction Price Per Share:
Value:  0.13
Transaction Acquired-Disposed Code:
Value:  D
Exercise Date:
Value:  8/18/14
Expiration Date:
Value:  8/15/19
Underlying Security:
Underlying Security Title:
Value:  Common Stock
Underlying Security Shares:
Value:  650,000
Post-Transaction Amounts:
Shares Owned Following Transaction:
Value:  2,500,000
Ownership Nature:
Direct or Indirect Ownership:
Value:  D
Footnotes:
Footnote - F1Options were voluntarily surrendered by executive.
Owner Signature:
Signature Name:  /s/ Michael Shannon
Signature Date:  3/2/18


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Filing Submission 0001185185-18-000354   –   Alternative Formats (Word / Rich Text, HTML, Plain Text, et al.)

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