-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, JWfCSeqijicmHHFYTeyRftKta0fFcZNwAdbXTmvLsQJd9Dm2tg0lNflZIPy3Xm4o Yu1c72l6fG/KTY0OAD5XnQ== 0000912057-02-006160.txt : 20020414 0000912057-02-006160.hdr.sgml : 20020414 ACCESSION NUMBER: 0000912057-02-006160 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20020214 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: VAN STOLK PETER CENTRAL INDEX KEY: 0001135444 FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: 234 NINTH AVENUE NORTH CITY: SEATLE STATE: WA ZIP: 98109 MAIL ADDRESS: STREET 1: 234 NINTH AVENUE NORTH CITY: SEATLE STATE: WA ZIP: 98109 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: JONES SODA CO CENTRAL INDEX KEY: 0001083522 STANDARD INDUSTRIAL CLASSIFICATION: BEVERAGES [2080] IRS NUMBER: 911696175 STATE OF INCORPORATION: WY FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-58549 FILM NUMBER: 02547609 BUSINESS ADDRESS: STREET 1: 234 9TH AVE NORTH CITY: SEATTLE STATE: WA ZIP: 98109 BUSINESS PHONE: 8006566050 MAIL ADDRESS: STREET 1: 234 9TH AVE NORTH CITY: SEATTLE STATE: WA ZIP: 98109 FORMER COMPANY: FORMER CONFORMED NAME: URBAN JUICE & SODA CO LTD /WY/ DATE OF NAME CHANGE: 19990407 SC 13G/A 1 a2070588zsc13ga.htm FORM 13G/A Prepared by MERRILL CORPORATION
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    UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

SCHEDULE 13G

Under the Securities Exchange Act of 1934
(Amendment No. 1)*		    

Jones Soda Co.
(Name of Issuer)

Common Stock
(Title of Class of Securities)

 
 
48023P106
 
 
   
(CUSIP Number)		    

December 31, 2001
(Date of Event Which Requires Filing of this Statement)

Check the appropriate box to designate the rule pursuant to which this Schedule is filed:

        / /      Rule 13d-1(b)

        / /      Rule 13d-1(c)

        /x/      Rule 13d-1(d)

        *The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page.

        The information required in the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).

CUSIP NO. 48023P106   Amendment No. 1
Schedule 13G		   Page 2 of 4 Pages
1 ) NAMES OF REPORTING PERSONS   Peter Van Stolk

 
 
S.S. OR IRS I.D. NOS. OF REPORTING PERSONS (Voluntary)
 
 


2
)
CHECK APPROPRIATE BOX IF A MEMBER OF A GROUP.
 
 

 
 
Not applicable
 
(a) / /
(b) / /


3
)
SEC USE ONLY
 
 
 
 


4
)
CITIZENSHIP OR PLACE OF ORGANIZATION
 
Canada


 
 
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH:
 
5) SOLE VOTING POWER
 
2,052,144 shares

 
 
 
 

 
 
 
 
6) SHARED VOTING POWER
 
- -0-

 
 
 
 

 
 
 
 
7) SOLE DISPOSITIVE POWER
 
2,052,144 shares

 
 
 
 

 
 
 
 
8) SHARED DISPOSITIVE POWER
 
- -0-


9
)
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
 
2,052,144 shares


10
)
/ / CHECK BOX IF AGGREGATE AMOUNT IN ROW 9 EXCLUDES CERTAIN SHARES.


11
)
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
 
10.1%


12
)
TYPE OF REPORTING PERSON
 
IN

CUSIP NO. 48023P106   Amendment No. 1
Schedule 13G		   Page 3 of 5 Pages
Item 1.   (a)   Issuer   Jones Soda Co. ("Issuer")

 
 
(b)
 
Principal Executive Offices
 
234 9th Avenue North
Seattle, WA 98109

Item 2.
 
(a)
 
Person Filing
 
Peter Van Stolk

 
 
(b)
 
Principal Business Office/Residence
 
234 9th Avenue North
Seattle, WA 98109

 
 
(c)
 
Citizenship
 
Canada

 
 
(d)
 
Title of Class of Securities
 
Common Stock

 
 
(e)
 
CUSIP Number
 
48023P106

Item 3.
 
Statement Filed Pursuant to Rule 13d-1(b) or 13d-2(b) or (c) by:
 
[not applicable]

 
 
(a)
 
/ /
 
Broker or Dealer registered under Section 15 of the Act

 
 
(b)
 
/ /
 
Bank as defined in Section 3(a)(6) of the Act

 
 
(c)
 
/ /
 
Insurance Company as defined in Section 3(a)(19) of the Act

 
 
(d)
 
/ /
 
Investment Company registered under Section 8 of the Investment Company Act

 
 
(e)
 
/ /
 
Investment Adviser registered under § 203, Investment Advisers Act

 
 
(f)
 
/ /
 
Employee Benefit Plan or endowment fund in accordance with Rule 13d-1(b)(1)(ii)(F)

 
 
(g)
 
/ /
 
Parent Holding Company or control person in accordance with Rule 13d-1(b)(1)(ii)(G)

 
 
(h)
 
/ /
 
Savings associations as defined in Section 3(b) of the Federal Deposit Insurance Act

 
 
(i)
 
/ /
 
Church plan that is excluded from the definition of an investment company under Section 3(c) (14) of the Investment Company Act of 1940

 
 
(j)
 
/ /
 
Group, in accordance with Rule 13d-1(b)(1)(ii)(J)


 

 

If this statement is filed pursuant to Rule 13d-1(c), check this box:

 

/ /
CUSIP NO. 48023P106   Amendment No. 1
Schedule 13G		   Page 4 of 5 Pages

Item 4.
 
Ownership of More than Five Percent of Class:
 
 

 
 
(a)
 
Amount beneficially owned
 
2,052,144 shares(1)

 
 
(b)
 
Percentage of class
 
10.1%(2)

 
 
(c)
 
Number of shares as to which such person has:
 
 

 
 
 
 
(i)
 
sole power to vote or direct the vote
 
2,052,144 shares

 
 
 
 
(ii)
 
shared power to vote or to direct the vote
 
- -0-

 
 
 
 
(iii)
 
sole power to dispose or to direct disposition of
 
2,052,144 shares

 
 
 
 
(iv)
 
shared power to dispose or to direct disposition of
 
- -0-

 
 
(1)
 
Consists of 1,617,144 shares of common stock and stock options exercisable within 60 days of December 31, 2001 to purchase an aggregate of 435,000 shares of common stock.

 
 
(2)
 
Calculated in accordance with Exchange Act Rule 13d-3 based on 20,235,596 shares of common stock deemed outstanding, comprised of (a) 20,251,846 shares outstanding as of the close of business on November 13, 2001 (as reflected in Issuer's Form 10-QSB for the quarter ended September 30, 2001, plus (b) an aggregate of 435,000 shares issuable under stock options exercisable within 60 days of December 31, 2001 held by Mr. Stolk, less (c) 451,250 shares of common stock in escrow to be cancelled by the Issuer, (as described in Issuer press release dated January 10, 2002).

Item 5.
 
Ownership of Five Percent or Less of Class
 
[not applicable]

Item 6.
 
Ownership of More than Five Percent on Behalf of Another.
 
[not applicable]

Item 7.
 
Identification and Classification of Subsidiary Which Acquired Security Being Reported on By Parent Holding Company.
 
[not applicable]

Item 8.
 
Identification and Classification of Members of Group
 
[not applicable]

Item 9.
 
Notice of Dissolution of Group.
 
[not applicable]

Item 10.
 
Certification:
 
[not applicable]
CUSIP NO. 48023P106   Amendment No. 1
Schedule 13G		   Page 5 of 5 Pages


SIGNATURE

        After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.


 
 
 
Dated: February 14, 2002    

 
 
 
    /s/  PETER VAN STOLK      
Peter Van Stolk


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