0001238255-17-000143.txt : 20171221 0001238255-17-000143.hdr.sgml : 20171221 20171221191441 ACCESSION NUMBER: 0001238255-17-000143 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171220 FILED AS OF DATE: 20171221 DATE AS OF CHANGE: 20171221 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MELANCON PAUL D CENTRAL INDEX KEY: 0001333631 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09390 FILM NUMBER: 171270649 MAIL ADDRESS: STREET 1: 9330 BALBOA AVENUE 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 2017-12-20 0000807882 JACK IN THE BOX INC /NEW/ JACK 0001333631 MELANCON PAUL D 9330 BALBOA AVENUE SAN DIEGO CA 92123 0 1 0 0 SVP - FIN/CONTROLLER/TREASURER COMMON STOCK 2017-12-20 4 A 0 729 0 A 5370 D COMMON STOCK 2017-12-20 4 A 0 1218 0 A 6588 D COMMON STOCK 2017-12-21 4 S 0 461 99.78 D 6127 D These securities are restricted stock units that vest in four equal installments commencing one year from the grant date, with after-tax net shares subject to a 50% holding requirement until separation of service from the Company. Represents shares vested and issued on 12/20/2017 for achievement of pre-established performance goals with respect to Performance Shares (as defined in Section 2.1 (aa) of our 2004 Stock Incentive Plan) granted for the three fiscal year performance period 2015-2017. Disposition of shares to satisfy tax withholding obligation upon vesting and issuance of Performance Shares (as defined in Section 2.1 (aa) of our Stock Stock Incentive Plan) pursuant to 10b5-1 sales instruction in grant agreement. PAUL D MELANCON 2017-12-20