0001238255-12-000019.txt : 20120928 0001238255-12-000019.hdr.sgml : 20120928 20120928173743 ACCESSION NUMBER: 0001238255-12-000019 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120927 FILED AS OF DATE: 20120928 DATE AS OF CHANGE: 20120928 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: 0930 BUSINESS ADDRESS: STREET 1: 9330 BALBOA AVE CITY: SAN DIEGO STATE: CA ZIP: 92123-1516 BUSINESS PHONE: 6195712121 MAIL ADDRESS: STREET 1: 9330 BALBOA AVENUE CITY: SAN DIEGO STATE: CA ZIP: 92123-1516 FORMER COMPANY: FORMER CONFORMED NAME: FOODMAKER INC /DE/ DATE OF NAME CHANGE: 19920703 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: 121117744 MAIL ADDRESS: STREET 1: C/O APPLEBEE'S INTERNATIONAL, INC. STREET 2: 4551 W 107TH STREET CITY: OVERLAND PARK STATE: KS ZIP: 66207 4 1 edgar.xml PRIMARY DOCUMENT X0306 4 2012-09-27 0000807882 JACK IN THE BOX INC /NEW/ JACK 0001137523 GOEBEL DAVID 9330 BALBOA AVENUE SAN DIEGO CA 92123 1 0 0 0 COMMON STOCK 2012-09-27 4 A 0 3169 0 A 16692 D These securities are restricted stock units. These restricted stock units shall vest 100% on September 27, 2013. STEPHANIE BRINSFIELD by Power of Attorney for DAVID GOEBEL 2012-09-27