0001062993-21-013453.txt : 20211223 0001062993-21-013453.hdr.sgml : 20211223 20211223145531 ACCESSION NUMBER: 0001062993-21-013453 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211223 FILED AS OF DATE: 20211223 DATE AS OF CHANGE: 20211223 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KLEINER MADELEINE CENTRAL INDEX KEY: 0001188275 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09390 FILM NUMBER: 211516803 MAIL ADDRESS: STREET 1: C/O NORTHROP GRUMMAN CORPORATION STREET 2: 2980 FAIRVIEW PARK DRIVE CITY: FALLS CHURCH STATE: VA ZIP: 22042 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 2021-12-23 0000807882 JACK IN THE BOX INC /NEW/ JACK 0001188275 KLEINER MADELEINE 9357 SPECTRUM CENTER BLVD SAN DIEGO CA 92123 1 0 0 0 COMMON STOCK 2021-12-23 4 A 0 30 0 A 17702 D Represents dividend equivalents on vested Restricted Stock Units that were deferred by the reporting person until his or her termination of board service on the dividend record date for the quarterly dividend declared on 11/19/2021. STEPHANIE BRINSFIELD by Power of Attorney for Madeleine Kleiner 2021-12-23