0001144204-15-049181.txt : 20150813
0001144204-15-049181.hdr.sgml : 20150813
20150813192652
ACCESSION NUMBER: 0001144204-15-049181
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150811
FILED AS OF DATE: 20150813
DATE AS OF CHANGE: 20150813
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: 151052147
MAIL ADDRESS:
STREET 1: C/O JAMBA, INC.
STREET 2: 6475 CHRISTIE AVENUE, SUITE 150
CITY: EMERYVILLE
STATE: CA
ZIP: 94608
4
1
form475615_20150813072609-.xml
X0306
4
2015-08-11
0
0001316898
JAMBA, INC.
JMBA
0001637050
Goss Dale
6475 CHRISTIE AVE, SUITE 150
EMERYVILLE
CA
US 94608
0
1
0
0
SVP Store Development
Common Stock
2015-08-11
4
S
0
1609
13.348
D
12738
D
Common Stock
2015-08-11
4
A
0
1865
0
A
14603
D
Shares of common stock issued to the reporting person upon vesting of a performance share unit award, not constituting a derivative security, granted on 8/7/2014.
The securities reported this column include 10,765 restricted stock units, which gives the Reporting Person a contingent right to receive at a future date 1 share of JMBA common stock for each restricted unit held at the time of this filing.
/s/ Karen Luey as attorney in fact for Dale Goss
2015-08-13