UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | SEC 1473 (7-02) | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. |
1. Title of Derivative Security (Instr. 4) |
2. Date Exercisable and Expiration Date (Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) |
4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
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Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
WARRANTS | Â (5) | 12/14/2011 | COMMON STOCK | 79,160 | $ 4.26 | D | Â |
WARRANTS | Â (6) | 12/14/2011 | COMMON STOCK | 11,832 | $ 4.26 | I | See footnote (2) |
WARRANTS | Â (7) | 12/14/2011 | COMMON STOCK | 1,444 | $ 4.26 | I | See footnote (3) |
WARRANTS | Â (8) | 12/14/2011 | COMMON STOCK | 79,160 | $ 4.26 | I | See footnote (4) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
KAGLE ROBERT C/O JAMBA, INC. 1700 17TH STREET SAN FRANCISCO, CA 94103-5136 |
 X |  |  |  |
Christina Lui for Robert Kagle | 12/01/2006 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 5(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | 2,222,222 shares owned by Benchmerk Capital Partners IV, L.P, of which Mr. Kagle is a managing member. The reporting person disclaims beneficial ownership of all shares held by Benchmark Capital Partners IV, L.P., except with respect to the extent of his pecuniary interest therein. |
(2) | 11,832 warrants owned by Benchmark Captial Partners IV, L.P., of which Mr. Kagle is a managing member.The reporting person disclaims beneficial ownership of all shares held by Benchmark Capital Partners IV, L.P., except with respect to the extent of his pecuniary interest therein. |
(3) | 1,444 warrants owned by Benchmark Founders' Fund, L.P., of which Mr. Kagle is a managing member.The reporting person disclaims beneficial ownership of all shares held by Benchmark Capital Partners IV, L.P., except with respect to the extent of his pecuniary interest therein. |
(4) | 79,160 warrants owned by Technology Venture Investors IV L.P., of which Mr. Kagle is a managing memberThe reporting person disclaims beneficial ownership of all shares held by Benchmark Capital Partners IV, L.P., except with respect to the extent of his pecuniary interest therein. |
(5) | Warrants to purchase common stock are immediately exerciseable. |
(6) | Warrants to purchase common stock are immediately exerciseable. |
(7) | Warrants to purchase common stock are immediately exerciseable. |
(8) | Warrants to purchase common stock are immediately exerciseable. |