SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
MELANCON PAUL D

(Last) (First) (Middle)
9330 BALBOA AVENUE

(Street)
SAN DIEGO CA 92123

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
JACK IN THE BOX INC /NEW/ [ JACK ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
X Officer (give title below) Other (specify below)
SVP - FIN/CONTROLLER/TREASURER
3. Date of Earliest Transaction (Month/Day/Year)
11/25/2013
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
COMMON STOCK(1) 11/25/2013 S 120 D $47.49 3,910 D
COMMON STOCK 11/26/2013 M 3,689 A $20.05 7,599 D
COMMON STOCK 11/26/2013 S 3,689 D $47.4776(2) 3,910 D
COMMON STOCK 11/26/2013 M 3,988 A $18.67 7,898 D
COMMON STOCK 11/26/2013 S 3,988 D $47.4776(2) 3,910 D
COMMON STOCK(1) 11/26/2013 S 111 D $47.29 3,799 D
COMMON STOCK(1) 11/26/2013 S 99 D $47.29 3,700 D
COMMON STOCK 11/26/2013 A 643(3) A $0 4,343 D
COMMON STOCK(1) 11/26/2013 S 242 D $47.29 4,101 D
COMMON STOCK 11/26/2013 A 996(4) A $0 5,097 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
NON QUALIFIED STOCK OPTION $20.05 11/26/2013 M 3,689 11/26/2011(5) 11/26/2017 COMMON STOCK 3,689 $0 0 D
NON QUALIFIED STOCK OPTION $18.67 11/26/2013 M 3,988 11/25/2012(5) 11/25/2018 COMMON STOCK 3,988 $0 3,988 D
NON QUALIFIED STOCK OPTION $47.29 11/26/2013 A 5,774 11/26/2014(5) 11/26/2020 COMMON STOCK 5,774 $47.29 5,774 D
Explanation of Responses:
1. Disposition of shares to satisfy tax withholding obligation upon vesting of restricted or performance share units.
2. The shares with respect to this transaction were sold at prices ranging from $47.45 to $47.57. The price reported reflects the weighted average sales price. The reporting person hereby agrees, upon request, to provide the Securities and Exchange Commission staff, the Issuer, or any security holder of the Issuer, full information regarding the number of shares sold at each separate price.
3. Represents shares issued for achievement of pre-established performance goals with respect to performance share units granted for the three fiscal year performance period 2011-2013.
4. These securities are restricted stock units that vest in five equal installments commencing one year from the grant date, with after-tax net shares subject to a minimum 50% holding requirement until separation of service with the Company.
5. The stock option becomes exercisable in three equal installments commencing one year after the date of grant.
Remarks:
PAUL D MELANCON 11/26/2013
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.