0001209191-11-031321.txt : 20110526 0001209191-11-031321.hdr.sgml : 20110526 20110526171447 ACCESSION NUMBER: 0001209191-11-031321 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110524 FILED AS OF DATE: 20110526 DATE AS OF CHANGE: 20110526 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: EISWIRTH RICHARD S JR CENTRAL INDEX KEY: 0001374256 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-28820 FILM NUMBER: 11875231 MAIL ADDRESS: STREET 1: C/O JONES SODA CO. STREET 2: 234 9TH AVE N CITY: SEATTLE STATE: WA ZIP: 98109 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: JONES SODA CO CENTRAL INDEX KEY: 0001083522 STANDARD INDUSTRIAL CLASSIFICATION: BEVERAGES [2080] IRS NUMBER: 911696175 STATE OF INCORPORATION: WA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 234 9TH AVE NORTH CITY: SEATTLE STATE: WA ZIP: 98109 BUSINESS PHONE: 8006566050 MAIL ADDRESS: STREET 1: 234 9TH AVE N CITY: SEATTLE STATE: WA ZIP: 98109 FORMER COMPANY: FORMER CONFORMED NAME: URBAN JUICE & SODA CO LTD /WY/ DATE OF NAME CHANGE: 19990407 4 1 doc4.xml FORM 4 SUBMISSION X0303 4 2011-05-24 0 0001083522 JONES SODA CO JSDA 0001374256 EISWIRTH RICHARD S JR 234 NINTH AVENUE NORTH SEATTLE WA 98109 1 0 0 0 Stock Option (Right to Buy) 1.18 2011-05-24 4 A 0 20000 0.00 A 2012-05-24 2021-05-24 Common Stock 20000 20000 D This option is fully vested and exercisable one year after the date of grant. Michael R. O'Brien, Attorney-in-Fact 2011-05-26