Ownership Submission
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FORM 3/A
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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 or Section 30(h) of the Investment Company Act of 1940
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OMB APPROVAL
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OMB Number:3235-0104Expires:January 31, 2005Estimated average burden hours per response...0.5
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1. Name and Address of Reporting Person *
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Bronstein Chad
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2. Date of Event Requiring Statement (Month/Day/Year)
2022-02-15
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3. Issuer Name and Ticker or Trading Symbol
JONES SODA CO [JSDA]
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(Last)
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(First)
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(Middle)
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C/O JONES SODA CO., , 66 S. HANFORD ST., STE. 150
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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__X__ Director
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_____ 10% Owner
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_____ Officer (give title below)
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_____ Other (specify below)
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5. If Amendment, Date Original Filed(Month/Day/Year)
2022-03-02
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(Street)
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SEATTLE
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WA
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98134
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6. Individual or Join/Group Filing(Check Applicable Line)
_X_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Beneficially Owned
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1.Title of Security
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2. Amount of Securities Beneficially Owned
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3. Ownership Form: Direct (D) or Indirect (I)
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4. Nature of Indirect Beneficial Ownership
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Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
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2. Date Exercisable and Expiration Date
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3. Title and Amount of Securities Underlying Derivative Security
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4. Conversion or Exercise Price of Derivative Security
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5. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
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6. Nature of Indirect Beneficial Ownership
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Date Exercisable
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Expriation Date
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Title
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Amount or Number of Shares
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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Bronstein Chad
C/O JONES SODA CO.,
66 S. HANFORD ST., STE. 150
SEATTLE, WA98134
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X
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Signatures
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/s/ Joe Culp, Attorney-In-Fact for Chad Bronstein
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2022-05-24
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**Signature of Reporting Person
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Date
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Explanation of Responses:
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(*)
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If the form is filed by more than one reporting person, see Instruction 5(b)(v).
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(**)
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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(1)
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Represents $100,000 unsecured 3% convertible debenture due February 9, 2023 (the "Contingent Convertible Debenture") that are convertible into units of Jones Soda Co. (each a "Jones Unit") at a conversion price of $0.50 per Jones Unit, with each Jones Unit consisting of one share of Jones Soda Co. common stock (each a "Jones Share") and one share purchase special warrant of Jones Soda Co. (each a "Jones Special Warrant"). Each Jones Special Warrant will be exercisable into one Jones Share at a price of $0.625 per Jones Share for a period of 24 months from the date of issuance, conditional upon Jones Soda Co. increasing its authorized capital to an amount to cover the Jones Shares issuable pursuant to all of the outstanding Jones Special Warrants as well as the other Jones Shares issuable pursuant to the then outstanding convertible/exercisable securities of Jones Soda Co..
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(2)
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The Contingent Convertible Debentures are automatically convertible into Jones Units upon Jones Soda Co. increasing its authorized capital to an amount to cover the Jones Shares issuable pursuant to all of the outstanding Contingent Convertible Debentures as well as all of the other then outstanding convertible/exercisable securities of Jones (a "Conversion Event"). The Contingent Convertible Debentures are only convertible into Jones Units upon the occurrence of a Conversion Event.
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Note: File three copies of this Form, one of which must be manually signed. If space is insufficient,
See Instruction 6 for procedure.Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB number.
