0001062993-23-021311.txt : 20231121 0001062993-23-021311.hdr.sgml : 20231121 20231121191720 ACCESSION NUMBER: 0001062993-23-021311 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231120 FILED AS OF DATE: 20231121 DATE AS OF CHANGE: 20231121 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SUPER SARAH L CENTRAL INDEX KEY: 0001794887 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09390 FILM NUMBER: 231429649 MAIL ADDRESS: STREET 1: C/O JACK IN THE BOX INC. 9330 BALBOA AVE CITY: SAN DIEGO STATE: CA ZIP: 92123 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: JACK IN THE BOX INC CENTRAL INDEX KEY: 0000807882 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING PLACES [5812] IRS NUMBER: 952698708 STATE OF INCORPORATION: DE FISCAL YEAR END: 1001 BUSINESS ADDRESS: STREET 1: 9357 SPECTRUM CENTER BLVD CITY: SAN DIEGO STATE: CA ZIP: 92123-1516 BUSINESS PHONE: 8585712121 MAIL ADDRESS: STREET 1: 9357 SPECTRUM CENTER BLVD CITY: SAN DIEGO STATE: CA ZIP: 92123-1516 FORMER COMPANY: FORMER CONFORMED NAME: JACK IN THE BOX INC /NEW/ DATE OF NAME CHANGE: 19991013 FORMER COMPANY: FORMER CONFORMED NAME: FOODMAKER INC /DE/ DATE OF NAME CHANGE: 19920703 4 1 form4.xml STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES X0508 4 2023-11-20 0000807882 JACK IN THE BOX INC JACK 0001794887 SUPER SARAH L 9357 SPECTRUM CENTER BLVD SAN DIEGO CA 92123 0 1 0 0 SVP - CHF LEGAL & RISK OFFICER 0 COMMON STOCK 2023-11-20 4 A 0 1737 0.00 A 8612 D COMMON STOCK 2023-11-21 4 S 0 605 68.0100 D 8007 D Represents shares vested and issued 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 2021-2023. Disposition of shares to satisfy tax withholding obligation upon vesting and issuance of Performance Shares (as defined in Section 2.1 (aa) of our 2004 Stock Incentive Plan) pursuant to the Company's policy for an automatic sell-to-cover stated in the grant agreement. SARAH SUPER 2023-11-21