0001144204-15-017365.txt : 20150319
0001144204-15-017365.hdr.sgml : 20150319
20150319211033
ACCESSION NUMBER: 0001144204-15-017365
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150317
FILED AS OF DATE: 20150319
DATE AS OF CHANGE: 20150319
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: JAMBA, INC.
CENTRAL INDEX KEY: 0001316898
STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING & DRINKING PLACES [5810]
IRS NUMBER: 202122262
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1229
BUSINESS ADDRESS:
STREET 1: 6475 CHRISTIE AVENUE
STREET 2: NO. 150
CITY: EMERYVILLE
STATE: CA
ZIP: 94608
BUSINESS PHONE: (510) 596-0100
MAIL ADDRESS:
STREET 1: 6475 CHRISTIE AVENUE
STREET 2: NO. 150
CITY: EMERYVILLE
STATE: CA
ZIP: 94608
FORMER COMPANY:
FORMER CONFORMED NAME: Services Acquisition Corp. International
DATE OF NAME CHANGE: 20050207
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Goss Dale
CENTRAL INDEX KEY: 0001637050
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-32552
FILM NUMBER: 15714358
MAIL ADDRESS:
STREET 1: C/O JAMBA, INC.
STREET 2: 6475 CHRISTIE AVENUE, SUITE 150
CITY: EMERYVILLE
STATE: CA
ZIP: 94608
4
1
form473734_20150319091018-.xml
X0306
4
2015-03-17
0
0001316898
JAMBA, INC.
JMBA
0001637050
Goss Dale
6475 CHRISTIE AVE, SUITE 150
EMERYVILLE
CA
US 94608
0
1
0
0
SVP/GM, US Stores East
Stock Option (right to buy)
13.94
2015-03-17
4
A
0
39209
0
A
2025-03-17
Common Stock
39209
39209
D
Vesting occurs in three equal installments on the second, third and fourth anniversary of the vesting commencement date of March 17, 2015.
/s/ Karen Luey, as attorney-in-fact for Dale Goss
2015-03-19