0001505048-18-000002.txt : 20180628 0001505048-18-000002.hdr.sgml : 20180628 20180628185322 ACCESSION NUMBER: 0001505048-18-000002 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180626 FILED AS OF DATE: 20180628 DATE AS OF CHANGE: 20180628 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Depatie Michael A. CENTRAL INDEX KEY: 0001505048 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32552 FILM NUMBER: 18926719 MAIL ADDRESS: STREET 1: 6475 CHRISTIE AVENUE STREET 2: NO. 150 CITY: EMERYVILLE STATE: CA ZIP: 94608 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: 3001 DALLAS PARKWAY STREET 2: SUITE 700 CITY: FRISCO STATE: TX ZIP: 75034 BUSINESS PHONE: 469-294-9800 MAIL ADDRESS: STREET 1: 3001 DALLAS PARKWAY STREET 2: SUITE 700 CITY: FRISCO STATE: TX ZIP: 75034 FORMER COMPANY: FORMER CONFORMED NAME: Services Acquisition Corp. International DATE OF NAME CHANGE: 20050207 4 1 edgar.xml PRIMARY DOCUMENT X0306 4 2018-06-26 0001316898 JAMBA, INC. JMBA 0001505048 Depatie Michael A. 3001 DALLAS PARKWAY SUITE 140 FRISCO TX 75034 1 0 0 0 Common Stock 2018-06-26 4 A 0 10436 0 A 39291 D The securities reported in this column include 5,218 restricted stock units ("RSUs") for Reporting Person's board service during fiscal year 2018 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. The RSUs vest over a one year period in four equal installments, with 25% vesting on each three month period following the Company's 2018 annual stockholder meeting, or the date of the Company's 2019 annual stockholder meeting if the meeting is held before such date, subject to the Reporting Person's continued board service. The securities reported in this column include 5,218 shares of common stock issued for Reporting Person's board service during fiscal year 2017. The number of securities reported in this column includes 5,218 restricted stock units held by the Reporting Person as of the date of this filing. /s/ Josh Nicosia, as attorney-in-fact for Michael A. Depatie 2018-06-28