0001062993-23-017424.txt : 20230901 0001062993-23-017424.hdr.sgml : 20230901 20230901162520 ACCESSION NUMBER: 0001062993-23-017424 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230901 FILED AS OF DATE: 20230901 DATE AS OF CHANGE: 20230901 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: 231232878 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 CENTRAL INDEX KEY: 0000807882 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING PLACES [5812] IRS NUMBER: 952698708 STATE OF INCORPORATION: DE FISCAL YEAR END: 1001 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 4 1 form4.xml STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES X0508 4 2023-09-01 0000807882 JACK IN THE BOX INC JACK 0001137523 GOEBEL DAVID C/O JACK IN THE BOX INC 9357 SPECTRUM CENTER BLVD. SAN DIEGO CA 92123 1 0 0 0 0 COMMON STOCK 2023-09-01 4 A 0 382 0.00 A 29877 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. STEPHANIE BRINSFIELD by Power of Attorney for David Goebel 2023-09-01