SEC Form 4 · accession 0001185185-18-000009
MEDIZONE INTERNATIONAL INC · MZEI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Michael Shannon
Officer — PRESIDENT · Director
Period of report
Dec 22, 2017
Accepted (ET)
Jan 2, 2018 · 6:34 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000753772
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Option to Purchase Common Stock | $0.163 | Apr 30, 2014 | J | 250,000 | D | Apr 30, 2014 | Apr 30, 2019 | Common Stock | 250,000 | 3,500,000 | D |
| Option to Purchase Common Stock | $0.13 | Aug 18, 2014 | J | 350,000 | D | Aug 18, 2014 | Aug 15, 2019 | Common Stock | 350,000 | 3,150,000 | D |
Explanation of responses
- F1Options were voluntarily surrendered by executive.