0001638599-16-001520.txt : 20161110
0001638599-16-001520.hdr.sgml : 20161110
20161110142602
ACCESSION NUMBER: 0001638599-16-001520
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161109
FILED AS OF DATE: 20161110
DATE AS OF CHANGE: 20161110
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: PACE DAVID
CENTRAL INDEX KEY: 0001181108
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-32552
FILM NUMBER: 161987374
4
1
doc4_4295.xml
PRIMARY DOCUMENT
X0306
4
2016-11-09
0
0001316898
JAMBA, INC.
JMBA
0001181108
PACE DAVID
C/O JAMBA, INC.
3001 DALLAS PARKWAY SUITE 700
FRISCO
TX
75034
1
1
0
0
Chief Executive Officer
Common Stock
2016-11-09
4
P
0
10000
9.964
A
389011
D
The securities reported in this column include 350,000 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 as of the date of this filing.
/s/ Josh Nicosia, as attorney-in-fact for David A. Pace
2016-11-10