0001062993-23-023257.txt : 20231228 0001062993-23-023257.hdr.sgml : 20231228 20231228180206 ACCESSION NUMBER: 0001062993-23-023257 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231228 FILED AS OF DATE: 20231228 DATE AS OF CHANGE: 20231228 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: TEHLE DAVID M CENTRAL INDEX KEY: 0001245010 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09390 FILM NUMBER: 231523674 MAIL ADDRESS: STREET 1: 100 MISSION RIDGE CITY: GOODLETTSVILLE STATE: TN ZIP: 37072 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: JACK IN THE BOX INC CENTRAL INDEX KEY: 0000807882 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING PLACES [5812] ORGANIZATION NAME: 07 Trade & Services 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 2023-12-28 0000807882 JACK IN THE BOX INC JACK 0001245010 TEHLE DAVID M 9357 SPECTRUM CENTER BLVD SAN DIEGO CA 92123 1 0 0 0 0 COMMON STOCK 2023-12-28 4 A 0 189 0.00 A 61197 D COMMON STOCK 2023-12-28 4 A 0 15 0.00 A 61212 D 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 11/17/2023. 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 11/17/2023. STEPHANIE BRINSFIELD by Power of Attorney for David M. Tehle 2023-12-28