SEC Form 4 · accession 0001238255-16-000267

JACK IN THE BOX INC · JACK

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Phillip H Rudolph

Officer — EVP, CHF LGL/RISK OFCR & SEC

Period of report

Nov 28, 2016

Accepted (ET)

Nov 29, 2016 · 9:11 pm EST

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
COMMON STOCK	Nov 28, 2016	M	8,810	$47.29	A	97,000	D
COMMON STOCK^F2	Nov 28, 2016	S	8,810	$105.5956	D	88,190	D
COMMON STOCK	Nov 28, 2016	M	3,202	$47.29	A	91,392	D
COMMON STOCK^F3	Nov 28, 2016	S	3,202	$106.4783	D	88,190	D
COMMON STOCK	Nov 28, 2016	M	1,802	$47.29	A	89,992	D
COMMON STOCK^F4	Nov 28, 2016	S	1,802	$107.1577	D	88,190	D
COMMON STOCK^F5	Nov 28, 2016	A	6,559	$0.00	A	94,749	D
COMMON STOCK^F6	Nov 29, 2016	S	2,999	$103.3981	D	91,750	D
COMMON STOCK^F7	Nov 29, 2016	A	2,876	$0.00	A	94,626	D
COMMON STOCK^F8	Nov 29, 2016	S	572	$103.3971	D	94,054	D
COMMON STOCK^F8	Nov 29, 2016	S	438	$103.3983	D	93,616	D
COMMON STOCK^F8	Nov 29, 2016	S	389	$103.3983	D	93,227	D
COMMON STOCK^F8	Nov 29, 2016	S	401	$103.3981	D	92,826	D
COMMON STOCK^F8	Nov 29, 2016	S	473	$103.3986	D	92,353	D

Table II — derivative securities

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
NON QUALIFIED STOCK OPTION^F9	$47.29	Nov 28, 2016	M	13,814	D	Nov 26, 2014	Nov 26, 2020	COMMON STOCK	13,814	6,908	D
NON QUALIFIED STOCK OPTION^F9	$104.95	Nov 29, 2016	A	8,718	A	Nov 29, 2017	Nov 29, 2023	COMMON STOCK	8,718	8,718	D

Explanation of responses

F1This transaction was executed pursuant to a Rule 10b5-1 Plan.
F2The shares with respect to this transaction were sold at prices ranging from $105.04 to $106.03. The price reported reflects the weighted average sales price. The reporting person hereby agrees, upon request, to provide to the Securities and Exchange Commission staff, the Company, or any security holder of the Company, full information regarding the number of shares sold at each separate price.
F3The shares with respect to this transaction were sold at prices ranging from $106.05 to $107.01. The price reported reflects the weighted average sales price. The reporting person hereby agrees, upon request, to provide to the Securities and Exchange Commission staff, the Company, or any security holder of the Company, full information regarding the number of shares sold at each separate price.
F4The shares with respect to this transaction were sold at prices ranging from $107.07 to $107.39. The price reported reflects the weighted average sales price. The reporting person hereby agrees, upon request, to provide to the Securities and Exchange Commission staff, the Company, or any security holder of the Company, full information regarding the number of shares sold at each separate price.
F5Represents shares vested on 11/23/2016 and settled on 11/28/2016 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 2014-2016.
F6Disposition of shares to satisfy tax withholding obligation upon vesting of Performance Shares on 11/23/2016.
F7These 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.
F8Disposition of shares to satisfy tax withholding obligation upon vesting of restricted stock units.
F9These options become exercisable in three equal installments commencing one year after the date of grant.