-----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, QKKW2CAZtbJiWDb67MY+NRViB0UtD5DG+mvA1rxoNROLA/nbbsQ0Hk2qLgOYNHAF +mtWFTuthTPObzfY8SvAqQ== 0001181431-10-014702.txt : 20100308 0001181431-10-014702.hdr.sgml : 20100308 20100308190714 ACCESSION NUMBER: 0001181431-10-014702 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20100304 FILED AS OF DATE: 20100308 DATE AS OF CHANGE: 20100308 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BCIP ASSOCIATES II-C CENTRAL INDEX KEY: 0001260904 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32242 FILM NUMBER: 10664971 MAIL ADDRESS: STREET 1: C/O BCIP CAPITAL, LLC STREET 2: 111 HUNTINGTON AVENUE CITY: BOSTON STATE: MA ZIP: 02199 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BAIN CAPITAL INVESTORS LLC CENTRAL INDEX KEY: 0001040508 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32242 FILM NUMBER: 10664978 BUSINESS ADDRESS: STREET 1: C/O BAIN CAPITAL LLC STREET 2: 111 HUNINGTON AVE CITY: BOSTON STATE: MA ZIP: 02199 BUSINESS PHONE: 6175162000 MAIL ADDRESS: STREET 1: C/O BAIN CAPITAL LLC STREET 2: 111 HUNINGTON AVE CITY: BOSTON STATE: MA ZIP: 02199 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BAIN CAPITAL FUND VI LP CENTRAL INDEX KEY: 0001065042 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32242 FILM NUMBER: 10664976 BUSINESS ADDRESS: STREET 1: TWO COPLEY PLACE STREET 2: 7TH FL CITY: BOSTON STATE: MA ZIP: 02116 BUSINESS PHONE: 6175723000 MAIL ADDRESS: STREET 1: TWO COPLEY PL STREET 2: 7TH FL CITY: BOSTON STATE: MA ZIP: 02116 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BCIP ASSOCIATES II CENTRAL INDEX KEY: 0001114986 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32242 FILM NUMBER: 10664974 BUSINESS ADDRESS: STREET 1: 111 HUNTINGTON AVE CITY: BOSTON STATE: MA ZIP: 02110 BUSINESS PHONE: 6175162000 MAIL ADDRESS: STREET 1: 111 HUNTINGTON AVE CITY: BOSTON STATE: MA ZIP: 02110 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BCIP ASSOCIATES II B CENTRAL INDEX KEY: 0001218986 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32242 FILM NUMBER: 10664973 BUSINESS ADDRESS: STREET 1: 111 HUNTINGTON AVE. CITY: BOSTON STATE: MA ZIP: 02110 BUSINESS PHONE: 6175612000 MAIL ADDRESS: STREET 1: 111 HUNTINGTON AVE CITY: BOSTON STATE: MA ZIP: 02110 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BCIP TRUST ASSOCIATES II CENTRAL INDEX KEY: 0001218988 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32242 FILM NUMBER: 10664969 BUSINESS ADDRESS: STREET 1: 111 HUNTINGTON AVE. CITY: BOSTON STATE: MA ZIP: 02110 BUSINESS PHONE: 6175612000 MAIL ADDRESS: STREET 1: 111 HUNTINGTON AVE CITY: BOSTON STATE: MA ZIP: 02110 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BCIP TRUST ASSOCIATES II B CENTRAL INDEX KEY: 0001218989 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32242 FILM NUMBER: 10664970 BUSINESS ADDRESS: STREET 1: 111 HUNTINGTON AVE. CITY: BOSTON STATE: MA ZIP: 02110 BUSINESS PHONE: 6175612000 MAIL ADDRESS: STREET 1: 111 HUNTINGTON AVE CITY: BOSTON STATE: MA ZIP: 02110 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BAIN CAPITAL PARTNERS VI LP CENTRAL INDEX KEY: 0001260860 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32242 FILM NUMBER: 10664977 BUSINESS ADDRESS: STREET 1: C/O BAIN CAPITAL LLC STREET 2: 111 HUNINGTON AVENUE CITY: BOSTON STATE: MA ZIP: 02199 BUSINESS PHONE: 617 516 2000 MAIL ADDRESS: STREET 1: C/O BAIN CAPITAL LLC STREET 2: 111 HUNINGTON AVENUE CITY: BOSTON STATE: MA ZIP: MA REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PEP INVESTMENTS PTY LTD CENTRAL INDEX KEY: 0001262054 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32242 FILM NUMBER: 10664972 BUSINESS ADDRESS: STREET 1: C/O PACIFIC EQUITY PARTNERS PTY LTD STREET 2: LEVEL 34 THE CHIFLEY TOWER E CHIFLEY SQ CITY: SYDNEY NEW SO WALES AUSTRALIA STATE: C3 ZIP: 00000 BUSINESS PHONE: 61292291400 MAIL ADDRESS: STREET 1: C/O PACIFIC EQUITY PARTNERS PTY LTD STREET 2: LEVEL 34 THE CHIFLEY TOWER E CHIFLEY SQ CITY: SYDNEY NEW SO WALES AUSTRALIA STATE: C3 ZIP: 00000 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Bain Capital VI Coinvestment Fund, L.P. CENTRAL INDEX KEY: 0001296572 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32242 FILM NUMBER: 10664975 BUSINESS ADDRESS: STREET 1: 111 HUNTINGTON AVENUE CITY: BOSTON STATE: MA ZIP: 02199 BUSINESS PHONE: 617-516-2000 MAIL ADDRESS: STREET 1: 111 HUNTINGTON AVENUE CITY: BOSTON STATE: MA ZIP: 02199 4 1 rrd269018.xml X0303 4 2010-03-04 0 0001286681 DOMINOS PIZZA INC DPZ 0001040508 BAIN CAPITAL INVESTORS LLC 111 HUNTINGTON AVENUE BOSTON MA 02199 0 0 1 0 0001260860 BAIN CAPITAL PARTNERS VI LP 111 HUNTINGTON AVENUE BOSTON MA 02199 0 0 1 0 0001065042 BAIN CAPITAL FUND VI LP 111 HUNTINGTON AVENUE BOSTON MA 02199 0 0 1 0 0001296572 Bain Capital VI Coinvestment Fund, L.P. 111 HUNTINGTON AVENUE BOSTON MA 02199 0 0 1 0 0001114986 BCIP ASSOCIATES II 111 HUNTINGTON AVENUE BOSTON MA 02199 0 0 1 0 0001218986 BCIP ASSOCIATES II B 111 HUNTINGTON AVENUE BOSTON MA 02199 0 0 1 0 0001262054 PEP INVESTMENTS PTY LTD 111 HUNTINGTON AVENUE BOSTON MA 02199 0 0 1 0 0001260904 BCIP ASSOCIATES II-C 111 HUNTINGTON AVENUE BOSTON MA 02199 0 0 1 0 0001218989 BCIP TRUST ASSOCIATES II B 111 HUNTINGTON AVENUE BOSTON MA 02199 0 0 1 0 0001218988 BCIP TRUST ASSOCIATES II 111 HUNTINGTON AVENUE BOSTON MA 02199 0 0 1 0 Common Stock, Par Value $0.01 2010-03-04 4 J 0 2715278 13.6015 D 12790336 I See footnote Common Stock, Par Value $0.01 2010-03-04 4 S 0 18634 13.6015 D 12771702 I See footnote Common Stock, Par Value $0.01 2010-03-05 4 S 0 3977 13.823 D 12767725 I See footnote Bain Capital Investors, LLC ("BCI"), is the sole general partner of Bain Capital Partners VI, L.P. ("BCP VI"), which is the sole general partner of Bain Capital Fund VI, L.P. ("Fund VI"). As a result, BCI may be deemed to share voting and dispositive power with respect to the shares of Common Stock held by Fund VI. Each of BCI and BCP disclaims beneficial ownership of such securities except to the extent of its pecuniary interest therein. On March 4, 2010, Fund VI distributed 1,193,294 shares of Common Stock to one or more members or partners. Following such distribution, Fund VI held 5,564,746 shares of Common Stock. BCP VI is the sole general partner of Bain Capital VI Coinvestment Fund, L.P. ("Coinvestment Fund VI"). As a result, BCI may be deemed to share voting and dispositive power with respect to the shares of Common Stock held by Coinvestment Fund VI. Each of BCI and BCP VI disclaims beneficial ownership of such securities except to the extent of its pecuniary interest therein. On March 4, 2010, Coinvestment Fund VI distributed 1,358,286 shares of Common Stock to one or more members or partners. Following such distribution, Coinvestment Fund VI held 6,334,158 shares of Common Stock. BCI is the managing partner of each of BCIP Associates II ("BCIP II"), BCIP Associates II-B ("BCIP II-B")and BCIP Associates II-C ("BCIP II-C") and thus may be deemed to share voting and dispositive power with respect to the shares of Common Stock held by BCIP II, BCIP II-B and BCIP II-C. BCI disclaims beneficial ownership of such securities except to the extent of its pecuniary interest therein. On March 4, 2010, BCIP II, BCIP II-B and BCIP II-C distributed 113,311, 17,895 and 32,492 shares of Common Stock, respectively, to one or more members or partners. Following such distribution, BCIP II, BCIP II-B and BCIP II-C held 528,406, 83,451 and 151,524 shares of Common Stock, respectively. BCI is also the managing partner of BCIP Trust Associates II ("BCIPT II"). As a result, BCI may be deemed to share voting dispositive power with respect to the shares of Common Stock held by BCIPT II. BCI disclaims beneficial ownership of such securities except to the extent of its pecuniary interest therein. On March 4, 2010, BCIPT II sold 13,126 shares of Common Stock. Following such sale, BCIPT II held 61,211 shares of Common Stock. BCI is also the managing partner of BCIP Trust Associates II-B ("BCIPT II-B"). As a result, BCI may be deemed to share voting dispositive power with respect to the shares of Common Stock held by BCIPT II-B. BCI disclaims beneficial ownership of such securities except to the extent of its pecuniary interest therein. On March 4, 2010, BCIPT II-B sold 5,508 shares of Common Stock. Following such sale, BCIPT II held 58,683 shares of Common Stock. BCI is the attorney-in-fact for PEP Investments PTY Ltd. ("PEP") and as a result, BCI may be deemed to share voting and dispositive power with respect to the shares of Common Stock held by PEP. BCI disclaims beneficial ownership of such securities except to the extent of its pecuniary interest therein. On March 5, 2010, PEP sold 3,977 shares of Common Stock. Following such sale, PEP held 18,546 shares of Common Stock. Distribution to partners and includes subsequent distributions by general partners to their respective partners. /s/ Mark E. Nunnelly 2010-03-08 -----END PRIVACY-ENHANCED MESSAGE-----