0001562762-18-000290.txt : 20180914 0001562762-18-000290.hdr.sgml : 20180914 20180914115709 ACCESSION NUMBER: 0001562762-18-000290 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180912 FILED AS OF DATE: 20180914 DATE AS OF CHANGE: 20180914 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SILCOCK RAYMOND CENTRAL INDEX KEY: 0001189768 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-28820 FILM NUMBER: 181070520 MAIL ADDRESS: STREET 1: 399 JEFFERSON ROAD CITY: PARSIPPANY STATE: NJ ZIP: 07054 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 certent-form4.xml PRIMARY DOCUMENT X0306 4 2018-09-12 0001083522 JONES SODA CO JSDA 0001189768 SILCOCK RAYMOND 66 S. HANFORD ST, STE 150 SEATTLE WA 98134 1 0 0 0 Common Stock 2018-09-12 4 P 0 1250 0.3296 A 1250 I Silcock Revocable Trust Common Stock 2018-09-12 4 P 0 40750 0.332 A 42000 I Silcock Revocable Trust /s/ Jennifer Cue, Attorney-In-Fact 2018-09-14