0001062993-21-012411.txt : 20211207 0001062993-21-012411.hdr.sgml : 20211207 20211207185801 ACCESSION NUMBER: 0001062993-21-012411 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211206 FILED AS OF DATE: 20211207 DATE AS OF CHANGE: 20211207 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GORDON DEAN C CENTRAL INDEX KEY: 0001653898 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09390 FILM NUMBER: 211477234 MAIL ADDRESS: STREET 1: C/O JACK IN THE BOX INC STREET 2: 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 2021-12-06 0000807882 JACK IN THE BOX INC /NEW/ JACK 0001653898 GORDON DEAN C 9357 SPECTRUM CENTER BLVD SAN DIEGO CA 92123 0 1 0 0 SVP - CHF SUPPLY CHAIN OFFICER COMMON STOCK 2021-12-06 4 A 0 1591 0.00 A 7408 D COMMON STOCK 2021-12-07 4 S 0 554 84.97 D 6854 D COMMON STOCK 2021-12-07 4 S 0 106 84.97 D 6748 D COMMON STOCK 2021-12-07 4 S 0 104 84.97 D 6644 D Represents shares vested and issued for achievement of pre-established performance goals with respect to Performance Shares (as defined in Section 2.1 (aa) of our 2004 Stock Incentive Plan) granted for the three fiscal year performance period 2019-2021. Disposition of shares to satisfy tax withholding obligation upon vesting and issuance of Performance Shares (as defined in Section 2.1 (aa) of our 2004 Stock Incentive Plan) pursuant to 10b5-1 sales instruction in grant agreement. Disposition of shares to satisfy tax withholding obligation upon vesting of restricted stock units pursuant to 10b5-1 sales instruction in grant agreement. DEAN GORDON 2021-12-07