0001562762-18-000013.txt : 20180104 0001562762-18-000013.hdr.sgml : 20180104 20180104193806 ACCESSION NUMBER: 0001562762-18-000013 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180102 FILED AS OF DATE: 20180104 DATE AS OF CHANGE: 20180104 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Cautero Richard V CENTRAL INDEX KEY: 0001537570 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-28820 FILM NUMBER: 18511758 MAIL ADDRESS: STREET 1: C/O JONES SODA CO. STREET 2: 1000 FIRST AVENUE S., SUITE 100 CITY: SEATTLE STATE: WA ZIP: 98134 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: JONES SODA CO CENTRAL INDEX KEY: 0001083522 STANDARD INDUSTRIAL CLASSIFICATION: BEVERAGES [2080] IRS NUMBER: 911696175 STATE OF INCORPORATION: WA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1000 1ST AVE S. STREET 2: SUITE 100 CITY: SEATTLE STATE: WA ZIP: 98134 BUSINESS PHONE: 206 624-3357 MAIL ADDRESS: STREET 1: 1000 1ST AVE S. STREET 2: SUITE 100 CITY: SEATTLE STATE: WA ZIP: 98134 FORMER COMPANY: FORMER CONFORMED NAME: URBAN JUICE & SODA CO LTD /WY/ DATE OF NAME CHANGE: 19990407 4 1 certent-form4.xml PRIMARY DOCUMENT X0306 4 2018-01-02 0001083522 JONES SODA CO JSDA 0001537570 Cautero Richard V C/O JONES SODA CO. 66 S. HANFORD ST, STE 150 SEATTLE WA 98134 1 0 0 0 Restricted Stock Units 2028-01-02 Common Stock 40541 310541 D Restricted stock units convert to shares of common stock on a one-for-one basis. The restricted stock units would vest in full on 1/2/2019 subject to the reporting person continuing to be a member of the Board of Directors as of such date. /s/ Jennifer Cue, Attorney-In-Fact 2018-01-04