SEC Form 4/A · accession 0001238255-17-000004
JACK IN THE BOX INC · JACK
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 4/A). It replaces an earlier filing for the same period.
Reporting owner
David Goebel
Director
Period of report
Dec 16, 2016
Accepted (ET)
Jan 4, 2017 · 8:20 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 | 5 | $0.00 | A | 23,382 | D | |
| COMMON STOCKF2 | Dec 16, 2016 | A | 3 | $0.00 | A | 23,385 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1This corrects the number of dividend equivalents credited to the reporting person's account in connection with a quarterly dividend paid on compensation previously deferred by the director under the Jack in the Box Inc. Deferred Compensation Plan for Non-Management Directors. The dividend was declared on November 17, 2016, and paid on December 16, 2016. The amount of dividend equivalents was previously miscalculated due to an administrative error.
- F2This corrects the number of dividend equivalents credited to the reporting person's account in connection with a quarterly dividend paid 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. The dividend was declared on November 17, 2016, and paid on December 16, 2016. The amount of dividend equivalents was previously miscalculated due to an administrative error.