0001540277-18-000037.txt : 20180913 0001540277-18-000037.hdr.sgml : 20180913 20180913170850 ACCESSION NUMBER: 0001540277-18-000037 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180913 FILED AS OF DATE: 20180913 DATE AS OF CHANGE: 20180913 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Perry Marie CENTRAL INDEX KEY: 0001418423 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32552 FILM NUMBER: 181069430 MAIL ADDRESS: STREET 1: 6820 LBJ FREEWAY CITY: DALLAS STATE: TX ZIP: 75240 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 2018-09-13 1 0001316898 JAMBA, INC. JMBA 0001418423 Perry Marie 3001 DALLAS PARKWAY SUITE 140 FRISCO TX 75034 0 1 0 0 EVP, CFO, CAO, Secretary Common Stock 2018-09-13 4 D 0 6000 13.00 D 0 D Stock Option (right to buy) 11.65 2018-09-13 4 D 0 75000 1.35 D 2026-05-16 Common Stock 75000 0 D The option, providing for vesting of one-third of the shares subject to the option on each of March 16, 2017, March 16, 2018, and March 16, 2019, in each case subject to the Reporting Person's continued employment with Issuer and/or its affiliates, became vested in full at the effective time of the merger between Jay Merger Sub, Inc. and the Issuer, and was cancelled at the effective time in exchange for a cash payment per share subject to the option determined by the difference between the $13 merger consideration per share and the exercise price of the option. /s/ Josh Nicosia, as attorney-in-fact for Marie Perry 2018-09-13