0001437749-23-016100.txt : 20230530
0001437749-23-016100.hdr.sgml : 20230530
20230530160229
ACCESSION NUMBER: 0001437749-23-016100
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230525
FILED AS OF DATE: 20230530
DATE AS OF CHANGE: 20230530
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: 23976248
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: 4786 1ST AVENUE SOUTH
STREET 2: SUITE D4
CITY: SEATTLE
STATE: WA
ZIP: 98134
BUSINESS PHONE: 206 624-3357
MAIL ADDRESS:
STREET 1: 4786 1ST AVENUE SOUTH
STREET 2: SUITE D4
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
X0407
4
2023-05-25
0001083522
JONES SODA CO
JSDA
0001673527
SIRKIN CLIVE M
4786 1ST AVENUE SOUTH, SUITE 103
SEATTLE
WA
98134
1
0
Stock Option (right to buy)
0.209
2023-05-25
4
A
0
450000
0
A
2033-05-25
Common Stock
450000
450000
D
Stock Options shall vest and become exercisable into shares of the Company's common stock in accordance with the following vesting schedule: (i) 150,000 Stock Options on January 2, 2024, (ii) 150,000 Stock Options on January 2, 2025, and (iii) the remaining 150,000 Stock Options on January 2, 2026.
/s/ Joe Culp, Attorney-in-Fact for Clive M. Sirkin
2023-05-30