0001238255-17-000004.txt : 20170104 0001238255-17-000004.hdr.sgml : 20170104 20170104202000 ACCESSION NUMBER: 0001238255-17-000004 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161216 FILED AS OF DATE: 20170104 DATE AS OF CHANGE: 20170104 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/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-09390 FILM NUMBER: 17508311 MAIL ADDRESS: STREET 1: C/O APPLEBEE'S INTERNATIONAL, INC. STREET 2: 4551 W 107TH STREET CITY: OVERLAND PARK STATE: KS ZIP: 66207 4/A 1 edgar.xml PRIMARY DOCUMENT X0306 4/A 2016-12-16 2016-12-16 0000807882 JACK IN THE BOX INC /NEW/ JACK 0001137523 GOEBEL DAVID 9330 BALBOA AVENUE SAN DIEGO CA 92123 1 0 0 0 COMMON STOCK 2016-12-16 4 A 0 5 0 A 23382 D COMMON STOCK 2016-12-16 4 A 0 3 0 A 23385 D This corrects the number of dividend equivalents credited to the reporting person's account in connection with a quarterly dividend paid on compensation previously deferred by the director under the Jack in the Box Inc. Deferred Compensation Plan for Non-Management Directors. The dividend was declared on November 17, 2016, and paid on December 16, 2016. The amount of dividend equivalents was previously miscalculated due to an administrative error. This corrects the number of dividend equivalents credited to the reporting person's account in connection with a quarterly dividend paid 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. The dividend was declared on November 17, 2016, and paid on December 16, 2016. The amount of dividend equivalents was previously miscalculated due to an administrative error. STEPHANIE BRINSFIELD by Power of Attorney for DAVID GOEBEL 2017-01-04