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