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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 - F1: Options were voluntarily surrendered by executive. |
Owner Signature: |
| Signature Name: /s/ Michael Shannon |
| Signature Date: 3/2/18 |