0001238255-19-000070.txt : 20190614 0001238255-19-000070.hdr.sgml : 20190614 20190614173054 ACCESSION NUMBER: 0001238255-19-000070 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190614 FILED AS OF DATE: 20190614 DATE AS OF CHANGE: 20190614 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GOEBEL DAVID CENTRAL INDEX KEY: 0001137523 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09390 FILM NUMBER: 19899880 MAIL ADDRESS: STREET 1: C/O APPLEBEE'S INTERNATIONAL, INC. STREET 2: 4551 W 107TH STREET CITY: OVERLAND PARK STATE: KS ZIP: 66207 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: 0929 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 2019-06-14 0000807882 JACK IN THE BOX INC /NEW/ JACK 0001137523 GOEBEL DAVID 9330 BALBOA AVENUE SAN DIEGO CA 92123 1 0 0 0 COMMON STOCK 2019-06-14 4 A 0 22 0 A 20825 D COMMON STOCK 2019-06-14 4 A 0 22 0 A 20847 D Represents dividend equivalents on the outstanding Common Stock Equivalents credited to the reporting person's account under the Jack in the Box Inc. Deferred Compensation Plan for Non-Management Directors on the dividend record date for the quarterly dividend declared on 5/09/2019. Represents dividend equivalents on vested Restricted Stock Units that were granted on 2/23/2015, 2/22/2016, 3/1/2017, and 2/28/2018 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 5/09/2019. STEPHANIE BRINSFIELD by Power of Attorney for DAVID GOEBEL 2019-06-14