0001437749-22-000939.txt : 20220114
0001437749-22-000939.hdr.sgml : 20220114
20220114162842
ACCESSION NUMBER: 0001437749-22-000939
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220103
FILED AS OF DATE: 20220114
DATE AS OF CHANGE: 20220114
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: SIRKIN CLIVE M
CENTRAL INDEX KEY: 0001673527
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-28820
FILM NUMBER: 22532161
MAIL ADDRESS:
STREET 1: ONE KELLOGG SQUARE
STREET 2: PO BOX 3599
CITY: BATTLE CREEK
STATE: MI
ZIP: 49016-3599
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: 66 S HANFORD ST
STREET 2: SUITE 150
CITY: SEATTLE
STATE: WA
ZIP: 98134
BUSINESS PHONE: 206 624-3357
MAIL ADDRESS:
STREET 1: 66 S HANFORD ST
STREET 2: SUITE 150
CITY: SEATTLE
STATE: WA
ZIP: 98134
FORMER COMPANY:
FORMER CONFORMED NAME: URBAN JUICE & SODA CO LTD /WY/
DATE OF NAME CHANGE: 19990407
4
1
rdgdoc.xml
FORM 4
X0306
4
2022-01-03
0001083522
JONES SODA CO
JSDA
0001673527
SIRKIN CLIVE M
C/O JONES SODA CO.,
66 S. HANFORD ST., STE. 150
SEATTLE
WA
98134
1
Stock Option (right to buy)
0.675
2022-01-03
4
A
0
37037
0
A
2023-01-03
2032-01-02
Common Stock
37037
37037
D
Subject to the reporting person's continuous service with the Company through such vesting date.
/s/ Joe Culp, Attorney-in-Fact for Clive M. Sirkin
2022-01-14