SEC Form 5 · accession 0001238255-16-000257
JACK IN THE BOX INC · JACK
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Raymond Pepper
Officer — VP - GENERAL COUNSEL
Period of report
Oct 2, 2016
Accepted (ET)
Oct 7, 2016 · 6:16 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000807882
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| COMMON STOCK | Feb 18, 2016 | J | 400 | $0.00 | A | 400 | I | By Pepper Family Revocable Trust No. 1. |
| COMMON STOCK | holding | — | — | — | 2,714 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1As of 2/18/2016, the reporting person assumed shared investment control over the reported securities held by the Pepper Family Revocable Trust No. 1.