0001238255-12-000040.txt : 20121127 0001238255-12-000040.hdr.sgml : 20121127 20121127215644 ACCESSION NUMBER: 0001238255-12-000040 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121126 FILED AS OF DATE: 20121127 DATE AS OF CHANGE: 20121127 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Blankenship Mark H CENTRAL INDEX KEY: 0001450505 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09390 FILM NUMBER: 121227609 MAIL ADDRESS: STREET 1: C/O JACK IN THE BOX INC STREET 2: 9330 BALBOA AVE CITY: SAN DIEGO STATE: CA ZIP: 92123 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 4 1 edgar.xml PRIMARY DOCUMENT X0306 4 2012-11-26 0000807882 JACK IN THE BOX INC /NEW/ JACK 0001450505 Blankenship Mark H 9330 BALBOA AVE SAN DIEGO CA 92123 0 1 0 0 SVP-CHF ADMINISTRATIVE OFFICER COMMON STOCK 2012-11-26 4 A 0 2415 0 A 9066 D NON QUALIFIED STOCK OPTION 27.49 2012-11-26 4 A 0 15297 27.49 A 2013-11-26 2019-11-26 COMMON STOCK 15297 15297 D These securities are restricted stock units that vest in five equal installments commencing one year after the date of grant, with after-tax net shares subject to a minimum 50% holding requirement until separation of service from the Company. The stock option becomes exercisable in three equal installments commencing one year after the date of grant. MARK H BLANKENSHIP 2012-11-26