SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
ADKINS STEVE

(Last) (First) (Middle)
C/O JAMBA, INC.
6475 CHRISTIE AVENUE, SUITE 150

(Street)
EMERYVILLE CA 94608

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
08/14/2008
3. Issuer Name and Ticker or Trading Symbol
JAMBA, INC. [ JMBA ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
SVP, OPERATIONS
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
STOCK OPTION (1) 06/27/2016 COMMON STOCK 6,150 $11.77 D
STOCK OPTION (2) 11/29/2016 COMMON STOCK 22,500 $11.36 D
STOCK OPTION (3) 12/07/2017 COMMON STOCK 13,000 $4.48 D
STOCK OPTION (4) 12/07/2017 COMMON STOCK 10,300 $4.48 D
Explanation of Responses:
1. This option is fully vested.
2. Of the 22,500 options, 25% vested on 11/29/2007 and the remaining 16,875 options will vest equally and become execiseable on each of 11/29/2008, 11/29/2009 and 11/29/2010.
3. Of the 13,000 options, 25% will vest and become exerciseable on each of 12/7/2008, 12/7/2009, 12/7/2010 and 12/7/2011.
4. All 10,300 options will vest and become exerciseable on 12/7/2008 upon achievement of certain performance metrics.
Christina Lui, Attorney-in-fact for Steve Adkins 08/25/2008
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.