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