0001062993-21-005886.txt : 20210623 0001062993-21-005886.hdr.sgml : 20210623 20210623182002 ACCESSION NUMBER: 0001062993-21-005886 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210623 FILED AS OF DATE: 20210623 DATE AS OF CHANGE: 20210623 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HARRIS DARIN S CENTRAL INDEX KEY: 0001812935 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09390 FILM NUMBER: 211039723 MAIL ADDRESS: STREET 1: C/O JACK IN THE BOX INC. 9330 BALBOA AVE CITY: SAN DIEGO STATE: CA ZIP: 92123 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: JACK IN THE BOX INC /NEW/ CENTRAL INDEX KEY: 0000807882 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING PLACES [5812] IRS NUMBER: 952698708 STATE OF INCORPORATION: DE FISCAL YEAR END: 1003 BUSINESS ADDRESS: STREET 1: 9357 SPECTRUM CENTER BLVD CITY: SAN DIEGO STATE: CA ZIP: 92123-1516 BUSINESS PHONE: 6195712121 MAIL ADDRESS: STREET 1: 9357 SPECTRUM CENTER BLVD CITY: SAN DIEGO STATE: CA ZIP: 92123-1516 FORMER COMPANY: FORMER CONFORMED NAME: FOODMAKER INC /DE/ DATE OF NAME CHANGE: 19920703 4 1 form4.xml STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES X0306 4 2021-06-23 0000807882 JACK IN THE BOX INC /NEW/ JACK 0001812935 HARRIS DARIN S 9357 SPECTRUM CENTER BLVD SAN DIEGO CA 92123 1 1 0 0 Director & CEO COMMON STOCK 2021-06-23 4 S 0 524 121.5 D 22780 D Disposition of shares to satisfy tax withholding obligation upon vesting of restricted stock units pursuant to 10b5-1 sales instruction in grant agreement. DARIN S HARRIS 2021-06-23