SEC Form 4 · accession 0001238255-16-000305
JACK IN THE BOX INC · JACK
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Dean C Gordon
Officer — VP - SUPPLY CHAIN
Period of report
Dec 7, 2016
Accepted (ET)
Dec 8, 2016 · 5:05 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 | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| COMMON STOCK | Dec 7, 2016 | M | 1,569 | $27.49 | A | 6,929 | D | |
| COMMON STOCKF1 | Dec 7, 2016 | S | 1,569 | $111.6383 | D | 5,360 | D | |
| COMMON STOCK | Dec 7, 2016 | M | 826 | $75.24 | A | 6,186 | D | |
| COMMON STOCKF1 | Dec 7, 2016 | S | 826 | $111.6383 | D | 5,360 | D | |
| COMMON STOCK | Dec 7, 2016 | M | 1,037 | $73.53 | A | 6,397 | D | |
| COMMON STOCKF1 | Dec 7, 2016 | S | 1,037 | $111.6383 | D | 5,360 | D | |
| COMMON STOCK | Dec 7, 2016 | M | 2,887 | $47.29 | A | 8,247 | D | |
| COMMON STOCKF1 | Dec 7, 2016 | S | 2,887 | $111.6383 | D | 5,360 | D | |
| COMMON STOCK | Dec 7, 2016 | S | 556 | $111.606 | D | 4,804 | D | |
| COMMON STOCK | Dec 7, 2016 | S | 823 | $111.606 | D | 3,981 | 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 OPTIONF2 | $27.49 | Dec 7, 2016 | M | 1,569 | D | Nov 26, 2013 | Nov 26, 2019 | COMMON STOCK | 1,569 | 0 | D |
| NON QUALIFIED STOCK OPTIONF2 | $75.24 | Dec 7, 2016 | M | 826 | D | Nov 24, 2016 | Nov 24, 2022 | COMMON STOCK | 826 | 1,652 | D |
| NON QUALIFIED STOCK OPTIONF2 | $73.53 | Dec 7, 2016 | M | 1,037 | D | Nov 25, 2015 | Nov 25, 2021 | COMMON STOCK | 1,037 | 519 | D |
| NON QUALIFIED STOCK OPTIONF2 | $47.29 | Dec 7, 2016 | M | 2,887 | D | Nov 26, 2014 | Nov 26, 2020 | COMMON STOCK | 2,887 | 0 | D |
Explanation of responses
- F1The shares with respect to this transaction were sold at prices ranging from $111.57 to $111.80. 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.
- F2These options become exercisable in three equal installments commencing one year after the date of grant.