Sec Form 4 Filing - GUILBAULT KEITH M @ JACK IN THE BOX INC /NEW/ - 2016-11-28

Insider filing report for Changes in Beneficial Ownership
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FORM 4
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
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, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
GUILBAULT KEITH M
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 _____ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
QDOBA BRAND PRESIDENT
(Last) (First) (Middle)
9330 BALBOA AVENUE
3. Date of Earliest Transaction (MM/DD/YY)
11/28/2016
(Street)
SAN DIEGO, CA92123
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 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 11/28/2016 M 1,297 A $ 73.53 15,893 D
COMMON STOCK 11/28/2016 S 1,297 D $ 105.952 14,596 D
COMMON STOCK 11/28/2016 A 1,827 ( 1 ) A $ 0 16,423 D
COMMON STOCK 11/29/2016 S 716 ( 2 ) D $ 103.4001 15,707 D
COMMON STOCK 11/29/2016 A 1,844 ( 3 ) A $ 0 17,551 D
COMMON STOCK 11/29/2016 S 82 ( 4 ) D $ 103.3991 17,469 D
COMMON STOCK 11/29/2016 S 78 ( 4 ) D $ 103.39 17,391 D
COMMON STOCK 11/29/2016 S 101 ( 4 ) D $ 103.398 17,290 D
COMMON STOCK 11/29/2016 S 101 ( 4 ) D $ 103.398 17,189 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 (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 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
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(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 of Derivative Security: 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 $ 73.53 11/28/2016 M 1,297 11/25/2015( 5 ) 11/25/2021 COMMON STOCK 1,297 $ 0 2,594 D
NON QUALIFIED STOCK OPTION $ 104.95 11/29/2016 A 5,589 11/29/2017( 5 ) 11/29/2023 COMMON STOCK 5,589 $ 104.95 5,589 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
GUILBAULT KEITH M
9330 BALBOA AVENUE
SAN DIEGO, CA92123
QDOBA BRAND PRESIDENT
Signatures
KEITH M GUILBAULT 11/28/2016
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Represents shares vested on 11/23/2016 and settled on 11/28/2016 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 2014-2016.
( 2 )Disposition of shares to satisfy tax withholding obligation upon vesting of Performance Shares on 11/23/2016.
( 3 )These securities are restricted stock units that vest in four equal installments commencing one year from the grant date, with after-tax net shares subject to a 50% holding requirement until separation of service from the Company.
( 4 )Disposition of shares to satisfy tax withholding obligation upon vesting of restricted stock units.
( 5 )These options become exercisable in three equal installments commencing one year after the date of grant.

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).
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