0001083522-17-000033.txt : 20170810 0001083522-17-000033.hdr.sgml : 20170810 20170810171753 ACCESSION NUMBER: 0001083522-17-000033 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20170801 FILED AS OF DATE: 20170810 DATE AS OF CHANGE: 20170810 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Anderson Jeffrey D. CENTRAL INDEX KEY: 0001714299 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-28820 FILM NUMBER: 171022292 MAIL ADDRESS: STREET 1: 66 S. HANFORD ST., SUITE 150 CITY: SEATTLE STATE: WA ZIP: 98134 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: 1000 1ST AVE S. STREET 2: SUITE 100 CITY: SEATTLE STATE: WA ZIP: 98134 BUSINESS PHONE: 206 624-3357 MAIL ADDRESS: STREET 1: 1000 1ST AVE S. STREET 2: SUITE 100 CITY: SEATTLE STATE: WA ZIP: 98134 FORMER COMPANY: FORMER CONFORMED NAME: URBAN JUICE & SODA CO LTD /WY/ DATE OF NAME CHANGE: 19990407 3 1 certent-form3.xml PRIMARY DOCUMENT X0206 3 2017-08-01 0 0001083522 JONES SODA CO JSDA 0001714299 Anderson Jeffrey D. 66 S. HANFORD ST, STE 150 SEATTLE WA 98134 1 0 0 0 Stock Option (Right to Buy) 0.45 2018-08-01 2027-08-01 Common Stock 39583 D /s/ Jennifer Cue, Attorney-in-Fact 2017-08-10 EX-24 2 janderson_poa.txt POA SPECIAL POWER OF ATTORNEY - SECTION 16 FILINGS The undersigned, a director and/or executive officer of Jones Soda Co., a Washington corporation (the "Company"), hereby constitutes and appoints each of Jennifer L. Cue, the Company's President and Chief Executive Officer, and Max Schroedl, the Company's Chief Financial Officer, each with full power of substitution, as the undersigned's true and lawful attorney-in-fact ("Attorney-in-Fact"), either one of them acting alone, to do, perform and take the following actions: (1) execute for and on behalf of the undersigned, in the undersigned's capacity as an officer and/or director of the Company, Forms 3, 4 and 5 (including amendments thereto) in accordance with Section 16(a) of the Securities Exchange Act of 1934 and the rules and regulations thereunder and a Form ID, Uniform Application for Access Codes to File on Edgar; (2) do and perform any and all acts for and on behalf of the undersigned which may be necessary or desirable to complete and execute any such Forms 3, 4 or 5 or Form ID and timely file such forms (including amendments thereto) and application with the United States Securities and Exchange Commission and any stock exchange or similar authority; and (3) take any other action of any type whatsoever in connection with the foregoing which, in the opinion of such Attorney-In-Fact, may be of benefit to, in the best interest of, or legally required by, the undersigned, it being understood that the documents executed by such Attorney-In-Fact on behalf of the undersigned pursuant to this Power of Attorney shall be in such form and shall contain such terms and conditions as such Attorney-In-Fact may approve in such Attorney-In-Fact's discretion. The undersigned hereby grants to each such Attorney-In-Fact full power and authority to do and perform any and every act and thing whatsoever requisite, necessary or proper to be done in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes as the undersigned might or could do if personally present, with full power of substitution or revocation, hereby ratifying and confirming all that such Attorney-In-Fact, or such Attorney-In-Fact's substitute or substitutes, shall lawfully do or cause to be done by virtue of this power of attorney and the rights and powers herein granted. The undersigned acknowledges that the foregoing Attorneys-In-Fact, in serving in such capacity at the request of the undersigned, are not assuming, nor is the Company assuming, any of the undersigned's responsibilities to comply with Section 16 of the Securities Exchange Act of 1934. The undersigned agrees that each such Attorney-In-Fact may rely entirely on information furnished orally or in writing by the undersigned to such Attorney-In-Fact. The undersigned also agrees to indemnify and hold harmless the Company and each such Attorney-In-Fact against any losses, claims, damages or liabilities (or actions in these respects) that arise out of or are based upon any untrue statements or omission of necessary facts in the information provided by the undersigned to such Attorney-In Fact for purposes of executing, acknowledging, delivering or filing Forms 3, 4 or 5 (including amendments thereto) or Form ID and agrees to reimburse the Company and such Attorney-In-Fact for any legal or other expenses reasonably incurred in connection with investigating or defending against any such loss, claim, damage, liability or action. This Power of Attorney supersedes any power of attorney previously executed by the undersigned regarding the purposes outlined in the first paragraph hereof ("Prior Powers of Attorney"), and the authority of the attorneys-in-fact named in any Prior Powers of Attorney is hereby revoked. This Power of Attorney shall remain in full force and effect until the undersigned is no longer required to file Forms 3, 4 or 5 with respect to the undersigned's holdings of and transactions in securities issued by the Company, unless earlier (a) revoked by the undersigned in a signed writing delivered to the foregoing Attorneys-In-Fact or (b) superseded by a new power of attorney regarding the purposes outlined in the first paragraph hereof dated as of a later date. EXECUTED as of this 9th day of August, 2017. /s/ Jeff Anderson