0001062993-21-008235.txt : 20210903
0001062993-21-008235.hdr.sgml : 20210903
20210903164209
ACCESSION NUMBER: 0001062993-21-008235
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210901
FILED AS OF DATE: 20210903
DATE AS OF CHANGE: 20210903
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: GOEBEL DAVID
CENTRAL INDEX KEY: 0001137523
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-09390
FILM NUMBER: 211237086
MAIL ADDRESS:
STREET 1: C/O APPLEBEE'S INTERNATIONAL, INC.
STREET 2: 4551 W 107TH STREET
CITY: OVERLAND PARK
STATE: KS
ZIP: 66207
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
2021-09-01
0000807882
JACK IN THE BOX INC /NEW/
JACK
0001137523
GOEBEL DAVID
9357 SPECTRUM CENTER BLVD
SAN DIEGO
CA
92123
1
0
0
0
COMMON STOCK
2021-09-01
4
A
0
296
0
A
22333
D
COMMON STOCK
2021-09-03
4
A
0
31
0
A
22364
D
COMMON STOCK
2021-09-03
4
A
0
29
0
A
22393
D
Represents common stock equivalents (CSEs) credited to the reporting person's account under the Jack in the Box Inc. Deferred Compensation Plan for Non Management Directors. The reporting person elected to defer receipt of annual cash retainers for service as a director, paid quarterly, and credited with CSEs (and fractions thereof). At the end of the reporting person's service as a director, the Company will issue to the reporting person the number of shares of common stock equal to the total number of CSEs credited to the reporting person's account at the time of distribution.
Represents dividend equivalents on the outstanding Common Stock Equivalents credited to the reporting person's account under the Jack in the Box Inc. Deferred Compensation Plan for Non-Management Directors on the dividend record date for the quarterly dividend declared on 7/30/2021.
Represents dividend equivalents on vested Restricted Stock Units that were deferred by the reporting person until his or her termination of board service. Dividend equivalents are credited to the reporting person's account on the dividend record date for the quarterly dividend declared on 7/30/2021.
STEPHANIE BRINSFIELD by Power of Attorney for DAVID GOEBEL
2021-09-03