0001144204-15-049175.txt : 20150813 0001144204-15-049175.hdr.sgml : 20150813 20150813191752 ACCESSION NUMBER: 0001144204-15-049175 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: Madsen Tom CENTRAL INDEX KEY: 0001637051 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32552 FILM NUMBER: 151052137 MAIL ADDRESS: STREET 1: C/O JAMBA, INC. STREET 2: 6475 CHRISTIE AVENUE, SUITE 150 CITY: EMERYVILLE STATE: CA ZIP: 94608 4 1 form475604_20150813071710-.xml X0306 4 2015-08-11 0 0001316898 JAMBA, INC. JMBA 0001637051 Madsen Tom 6475 CHRISTIE AVE, SUITE 150 EMERYVILLE CA US 94608 0 1 0 0 SVP, New Ventures Common Stock 2015-08-11 4 S 0 1332 13.348 D 11714 D Common Stock 2015-08-11 4 A 0 1186 0 A 12900 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 08/07/2014. The securities reported in this column include 4,333 restricted stock units which give the Reporting Person a contingent right to receive at a future date one share of JMBA common stock for each restricted stock unit held at the time of this filing. /s/ Karen Luey as attorney in fact for Thomas Madsen 2015-08-13