0001238255-16-000319.txt : 20161216 0001238255-16-000319.hdr.sgml : 20161216 20161216200052 ACCESSION NUMBER: 0001238255-16-000319 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161216 FILED AS OF DATE: 20161216 DATE AS OF CHANGE: 20161216 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: KLEINER MADELEINE CENTRAL INDEX KEY: 0001188275 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09390 FILM NUMBER: 162057623 MAIL ADDRESS: STREET 1: C/O HILTON HOTELS CORP STREET 2: 9336 CIVIC CENTER DRIVE CITY: BEVERLY HILLS STATE: CA ZIP: 90210 4 1 edgar.xml PRIMARY DOCUMENT X0306 4 2016-12-16 0000807882 JACK IN THE BOX INC /NEW/ JACK 0001188275 KLEINER MADELEINE 9330 BALBOA AVENUE SAN DIEGO CA 92123 1 0 0 0 COMMON STOCK 2016-12-16 4 A 0 2 0 A 12215 D Represents dividend equivalents on vested Restricted Stock Units that were granted on 2/23/2015 and 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 11/17/2016. STEPHANIE BRINSFIELD by Power of Attorney for Madeleine Kleiner 2016-12-16