SEC Form 4 · accession 0001144204-15-030941
JAMBA, INC. · JMBA
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Glenn W. Welling
Director
Period of report
May 12, 2015
Accepted (ET)
May 14, 2015 · 8:14 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001316898
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock, par value $0.001 per shareF1,F2 | May 12, 2015 | A | 4,000 | $0.00 | A | 5,304 | D | |
| Common Stock, par value $0.001 per shareF3 | holding | — | — | — | 1,020,198 | I | By: Engaged Capital Master Feeder II, LP | |
| Common Stock, par value $0.001 per shareF4 | holding | — | — | — | 610,465 | I | By: Engaged Capital Master Feeder I, LP |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1The securities reported in this column consist of 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. Of the 4,000 restricted stock units, 1,000 will vest on 8/12/15, 11/12/15, 2/12/16, and 5/12/16 or the date of the Issuer's 2016 annual meeting of stockholders if the meeting is held before such date.
- F2The number of securities reported in this column includes 4,000 restricted stock units held by the Reporting Person as of the date of this filing.
- F3Shares owned directly by Engaged Capital Master Feeder II, LP ("Engaged Capital Master II"). Mr. Welling, solely by virtue of his position as the founder and Chief Investment Officer ("CIO") of Engaged Capital, LLC ("Engaged Capital"), the general partner and investment advisor of Engaged Capital Master II, and as the sole member of Engaged Capital Holdings, LLC ("Engaged Holdings"), the managing member of Engaged Capital, may be deemed to beneficially own the shares owned directly by Engaged Capital Master II for purposes of Section 16. Mr. Welling expressly disclaims beneficial ownership of such shares except to the extent of his pecuniary interest therein.
- F4Shares owned directly by Engaged Capital Master Feeder I, LP ("Engaged Capital Master I"). Mr. Welling, solely by virtue of his position as the founder and CIO of Engaged Capital, the general partner and investment advisor of Engaged Capital Master I, and as the sole member of Engaged Holdings, the managing member of Engaged Capital, may be deemed to beneficially own the shares owned directly by Engaged Capital Master I for purposes of Section 16. Mr. Welling expressly disclaims beneficial ownership of such shares except to the extent of his pecuniary interest therein.