0001562762-19-000026.txt : 20190104 0001562762-19-000026.hdr.sgml : 20190104 20190104163730 ACCESSION NUMBER: 0001562762-19-000026 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190102 FILED AS OF DATE: 20190104 DATE AS OF CHANGE: 20190104 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: 19510592 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 2019-01-02 0001083522 JONES SODA CO JSDA 0001189768 SILCOCK RAYMOND 66 S. HANFORD ST., STE. 150 SEATTLE WA 98134 1 0 0 0 Restricted Stock Units 2019-01-02 4 A 0 59760 0.00 A 2029-01-02 Common Stock 59760 59760 D Restricted stock units convert to shares of common stock on a one-for-one-basis. The restricted stock units vest in full on 01/02/2020 subject to the reporting person continuing to be a member of the Board of Directors as of such date. /s/ Jennifer Cue, Attorney-In-Fact 2019-01-04