0001238255-17-000115.txt : 20171218 0001238255-17-000115.hdr.sgml : 20171218 20171218194615 ACCESSION NUMBER: 0001238255-17-000115 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171215 FILED AS OF DATE: 20171218 DATE AS OF CHANGE: 20171218 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: 171262583 MAIL ADDRESS: STREET 1: C/O NORTHROP GRUMMAN CORPORATION STREET 2: 2980 FAIRVIEW PARK DRIVE CITY: FALLS CHURCH STATE: VA ZIP: 22042 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 2017-12-15 0000807882 JACK IN THE BOX INC /NEW/ JACK 0001188275 KLEINER MADELEINE 9330 BALBOA AVENUE SAN DIEGO CA 92123 1 0 0 0 COMMON STOCK 2017-12-15 4 A 0 3 0 A 13188 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 11/17/2017. STEPHANIE BRINSFIELD by Power of Attorney for Madeleine Kleiner 2017-12-15