0001062993-22-022747.txt : 20221123
0001062993-22-022747.hdr.sgml : 20221123
20221123164028
ACCESSION NUMBER: 0001062993-22-022747
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20221117
FILED AS OF DATE: 20221123
DATE AS OF CHANGE: 20221123
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Gretzema Chad
CENTRAL INDEX KEY: 0001788519
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-09390
FILM NUMBER: 221416815
MAIL ADDRESS:
STREET 1: 25521 COMMERCENTRE DRIVE, SUITE 200
CITY: LAKE FOREST
STATE: CA
ZIP: 92630
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: JACK IN THE BOX INC
CENTRAL INDEX KEY: 0000807882
STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING PLACES [5812]
IRS NUMBER: 952698708
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1002
BUSINESS ADDRESS:
STREET 1: 9357 SPECTRUM CENTER BLVD
CITY: SAN DIEGO
STATE: CA
ZIP: 92123-1516
BUSINESS PHONE: 8585712121
MAIL ADDRESS:
STREET 1: 9357 SPECTRUM CENTER BLVD
CITY: SAN DIEGO
STATE: CA
ZIP: 92123-1516
FORMER COMPANY:
FORMER CONFORMED NAME: JACK IN THE BOX INC /NEW/
DATE OF NAME CHANGE: 19991013
FORMER COMPANY:
FORMER CONFORMED NAME: FOODMAKER INC /DE/
DATE OF NAME CHANGE: 19920703
3
1
form3.xml
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
X0206
3
2022-11-17
0
0000807882
JACK IN THE BOX INC
JACK
0001788519
Gretzema Chad
9357 SPECTRUM CENTER BLVD
SAN DIEGO
CA
92123
0
1
0
0
DEL TACO BRAND PRESIDENT
COMMON STOCK
560
D
COMMON STOCK
2040
D
COMMON STOCK
5986
D
These securities represent the non-accelerated, unvested portion of the restricted stock award assumed by the Company, and converted into a corresponding award of restricted stock of Jack in the Box common stock on 3/08/2022 pursuant to the merger agreement, upon the Company's acquisition of Del Taco Restaurants in March 2022.
These securities represent the unvested portion of restricted stock unit grant made on 5/16/2022. The grant of restricted stock units vest in four equal installments commencing one year after the date of grant. This RSU grant is not subject to holding requirements.
CHAD GRETZEMA
2022-11-23
EX-24
2
exhibit24.txt
POWER OF ATTORNEY
JACK IN THE BOX INC.
Power of Attorney: Section 16(a) Compliance
Know all by these present, that the undersigned hereby constitutes
and appoints each of Stephanie Brinsfield and Sarah Super, signing singly,
the undersigned's true and lawful attorney in fact to:
1. execute for and on behalf of the undersigned, in the undersigned's
capacity as an officer, director, and/or other identified insider of Jack
in the Box Inc., Forms 3, 4, and 5 in accordance with Section 16(a) of the
Securities and Exchange Act of 1934 and the rules thereunder;
2. do and perform any and all acts for and on behalf of the undersigned
which may be necessary or desirable to complete and execute any such Form 3,
4, and 5, complete and execute any amendment or amendments thereto, and
timely file such form with the United States Securities and Exchange
Commission and any stock exchange or similar authority; and
3. take any other action of any type whatsoever in connection with the
foregoing which, in the sole opinion of such attorney in fact, may be of
benefit to, in the best interest of, or legally required by, the undersigned,
it being understood that the documents executed by such attorney in fact on
behalf of the undersigned pursuant to this Power of Attorney shall be in such
form and shall contain such terms and conditions as such attorney in fact may
approve in such attorney in fact's sole discretion.
The undersigned hereby grants to each such attorney in fact, full power and
authority to do and perform any and every act and thing whatsoever requisite,
necessary, or proper to be done in the exercise of any of the rights and
powers herein granted, as fully to all intents and purposes as the undersigned
might or could do if personally present, with full power of substitution or
revocation, hereby ratifying and confirming all that such attorney in fact,
or such attorney-in-fact's substitute or substitutes, shall lawfully do or
cause to be done by virtue of this power of attorney and the rights and powers
herein granted. The undersigned acknowledges that the foregoing attorneys in
fact, in serving in such capacity at the request of the undersigned, are not
assuming, nor is Jack in the Box Inc., assuming, any of the undersigned's
responsibilities to comply with Section 16 of the Securities Exchange Act
of 1934.
This Power of Attorney shall remain in full force and effect until the
undersigned is no longer required to file Forms 3, 4 and 5 with respect to
the undersigned's holdings of and transactions in securities issued by the
Company, unless earlier revoked by the undersigned in a signed writing
delivered to the foregoing attorneys in fact.
IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be
executed as of this 21st day of October, 2022.
CHAD GRETZEMA
Signature
STEPHANIE BRINSFIELD
Witness