-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, K6JdveoMp1J+9kzTpkChwMRIDNyeJiyCcjrxSBng/lFxtKQ+Hgo1ljWj7q96gfkV 5JmXrqSwjfpsMZeeU/GTFQ== 0001181431-10-017036.txt : 20100318 0001181431-10-017036.hdr.sgml : 20100318 20100318080845 ACCESSION NUMBER: 0001181431-10-017036 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20100316 FILED AS OF DATE: 20100318 DATE AS OF CHANGE: 20100318 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BALSON ANDREW CENTRAL INDEX KEY: 0001212449 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32242 FILM NUMBER: 10690235 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: DOMINOS PIZZA INC CENTRAL INDEX KEY: 0001286681 STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-GROCERIES & RELATED PRODUCTS [5140] IRS NUMBER: 382511577 BUSINESS ADDRESS: STREET 1: 30 FRANK LLOYD WRIGHT DRIVE CITY: ANN ARBOR STATE: MI ZIP: 48106 MAIL ADDRESS: STREET 1: 30 FRANK LLOYD WRIGHT DRIVE CITY: ANN ARBOR STATE: MI ZIP: 48106 4 1 rrd270360.xml FORM 4 X0303 4 2010-03-16 0 0001286681 DOMINOS PIZZA INC DPZ 0001212449 BALSON ANDREW C/O BAIN CAPITAL INVESTORS, LLC 111 HUNTINGTON AVENUE BOSTON MA 02199 1 0 1 0 Common Stock, Par Value $0.01 2010-03-16 4 S 0 3314 13.9961 D 10486151 I See footnote Mr. Balson is a Managing Director of Bain Capital Investors, LLC ("BCI"). Because BCI is the attorney-in-fact for PEP Investments PTY Ltd. ("PEP"), Mr. Balson may be deemed to share voting and dispositive power with respect to the shares of Common Stock held by PEP. Mr. Balson disclaims beneficial ownership of such securities except to the extent of its pecuniary interest therein. On March 16, 2010, PEP sold 3,314 shares of Common Stock. Following such sale, PEP held 15,232 shares of Common Stock. /s/ Andrew Balson 2010-03-17 -----END PRIVACY-ENHANCED MESSAGE-----