SEC Form 4 · accession 0001238255-16-000321
JACK IN THE BOX INC · JACK
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
A later amendment supersedes this filing — read the amendment. The figures below are kept as originally reported (version chain, not an overwrite).
Reporting owner
David Goebel
Director
Period of report
Dec 16, 2016
Accepted (ET)
Dec 16, 2016 · 8:04 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 STOCKF1 | Dec 16, 2016 | A | 3 | $0.00 | A | 23,380 | D | |
| COMMON STOCKF2 | Dec 16, 2016 | A | 2 | $0.00 | A | 23,382 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Represents 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 11/17/2016.
- F2Represents dividend equivalents on vested Restricted Stock Units that were granted on 2/23/2015 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 11/17/2016.