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