0001209191-17-061136.txt : 20171116
0001209191-17-061136.hdr.sgml : 20171116
20171116153346
ACCESSION NUMBER: 0001209191-17-061136
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20171106
FILED AS OF DATE: 20171116
DATE AS OF CHANGE: 20171116
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Schaefer Claudia
CENTRAL INDEX KEY: 0001721767
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-32552
FILM NUMBER: 171207956
MAIL ADDRESS:
STREET 1: 4855 ALLENCREST LN
CITY: DALLAS
STATE: TX
ZIP: 75244
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: 3001 DALLAS PARKWAY
STREET 2: SUITE 700
CITY: FRISCO
STATE: TX
ZIP: 75034
BUSINESS PHONE: 469-294-9800
MAIL ADDRESS:
STREET 1: 3001 DALLAS PARKWAY
STREET 2: SUITE 700
CITY: FRISCO
STATE: TX
ZIP: 75034
FORMER COMPANY:
FORMER CONFORMED NAME: Services Acquisition Corp. International
DATE OF NAME CHANGE: 20050207
3
1
doc3.xml
FORM 3 SUBMISSION
X0206
3
2017-11-06
0
0001316898
JAMBA, INC.
JMBA
0001721767
Schaefer Claudia
3001 DALLAS PARKWAY
SUITE 700
FRISCO
TX
75034
0
1
0
0
SVP, Chief Marketing Officer
No securities are beneficially owned
0
D
/s/ Josh Nicosia, as attorney-in-fact for Claudia Schaefer
2017-11-16
EX-24.3_752485
2
poa.txt
POA DOCUMENT
POWER OF ATTORNEY
Know all by these presents, that the undersigned hereby constitutes and
appoints each of David A. Pace, Marie Perry, Josh Nicosia and Lanee Fox as the
undersigned's true and lawful attorneys-in-fact to:
(1) execute for and on behalf of the undersigned, in the undersigned's capacity
as a reporting person pursuant to Section 16 of the Securities Exchange Act of
1934, as amended (the "Exchange Act"), and the rules thereunder of Jamba, Inc.
(the "Company"), Forms 3, 4, and 5 in accordance with Section 16(a) of the
Exchange Act;
(2) do and perform any and all acts for and on behalf of the undersigned which
may be necessary or desirable to complete and execute any such Form 3, 4, or 5
and timely file such form with the United States Securities and Exchange
Commission and stock exchange or similar authority; and
(3) take any other action of any type whatsoever in connection with the
foregoing which, in the opinion of any of such attorneys-in-fact, may be of
benefit to, in the best interest of, or legally required by, the undersigned, it
being understood that the documents executed by any of such attorneys-in-fact on
behalf of the undersigned pursuant to this Power of Attorney shall be in such
form and shall contain such terms and conditions as any of such
attorneys-in-fact may approve in the discretion of any of such
attorneys-in-fact.
The undersigned hereby grants to each such attorney-in-fact full power and
authority to do and perform any and all act and thing whatsoever requisite,
necessary or proper to be done in the exercise of any of the rights and powers
herein granted, as fully to all intents and purposes as the undersigned might or
could do if personally present, with full power of substitution or revocation,
hereby ratifying and confirming all that any of such attorneys-in-fact, or the
substitute or substitutes of any of such attorneys-in-fact, shall lawfully do or
cause to be done by virtue of this Power of Attorney and the rights and powers
herein granted. The undersigned acknowledges that the forgoing
attorneys-in-fact, in serving in such capacity at the request of the
undersigned, are not assuming, nor is the Company assuming, any of the
undersigned's responsibilities to comply with Section 16 of the Exchange Act.
This Power of Attorney shall remain in full force and effect until the
undersigned is no longer required to file Forms 3, 4, and 5 with respect to the
undersigned's holdings of and transactions in securities issued by the Company,
unless earlier revoked by the undersigned in a signed writing delivered to the
forgoing attorneys-in-fact.
IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be
executed as of this 9th day of November, 2017.
/s/ Claudia Schaefer
Signature
Claudia Schaefer
Print Name