0001209191-11-059239.txt : 20111202 0001209191-11-059239.hdr.sgml : 20111202 20111202175646 ACCESSION NUMBER: 0001209191-11-059239 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111130 FILED AS OF DATE: 20111202 DATE AS OF CHANGE: 20111202 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: 234 9TH AVE NORTH CITY: SEATTLE STATE: WA ZIP: 98109 BUSINESS PHONE: 8006566050 MAIL ADDRESS: STREET 1: 234 9TH AVE N CITY: SEATTLE STATE: WA ZIP: 98109 FORMER COMPANY: FORMER CONFORMED NAME: URBAN JUICE & SODA CO LTD /WY/ DATE OF NAME CHANGE: 19990407 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KELLOGG MATTHEW CENTRAL INDEX KEY: 0001241473 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-28820 FILM NUMBER: 111241507 MAIL ADDRESS: STREET 1: C/O JONES SODA CO. STREET 2: 234 9TH AVE N CITY: SEATTLE STATE: WA ZIP: 98109 4 1 doc4.xml FORM 4 SUBMISSION X0304 4 2011-11-30 0 0001083522 JONES SODA CO JSDA 0001241473 KELLOGG MATTHEW C/O JONES SODA CO. 1000 1ST AVENUE S., SUITE 100 SEATTLE WA 98134 1 0 0 0 Common Stock 2011-11-30 4 P 0 4900 0.44 A 140597 D Common Stock 2011-11-30 4 P 0 100 0.4371 A 140697 D /s/ Carrie Traner, Attorney-in-Fact 2011-12-02