0001209191-16-146763.txt : 20161024 0001209191-16-146763.hdr.sgml : 20161024 20161024165033 ACCESSION NUMBER: 0001209191-16-146763 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161020 FILED AS OF DATE: 20161024 DATE AS OF CHANGE: 20161024 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: ALLISON RICHARD E JR CENTRAL INDEX KEY: 0001622500 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32242 FILM NUMBER: 161948559 MAIL ADDRESS: STREET 1: 30 FRANK LLOYD WRIGHT DR CITY: ANN ARBOR STATE: MI ZIP: 48105 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-10-20 0 0001286681 DOMINOS PIZZA INC DPZ 0001622500 ALLISON RICHARD E JR DOMINO'S PIZZA 30 FRANK LLOYD WRIGHT DRIVE ANN ARBOR MI 48105 0 1 0 0 President, Domino's Int'l Common Stock, $0.01 par value 2016-10-20 4 M 0 20000 14.53 A 42080.489 D Common Stock, $0.01 par value 2016-10-20 4 S 0 20000 164.878 D 22080.489 D Common Stock, $0.01 par value 200 I Son Common Stock, $0.01 par value 100 I Daughter Option to Purchase Common Stock 14.53 2016-10-20 4 M 0 20000 14.53 D 2014-03-14 2021-03-14 Common Stock, $0.01 par value 20000 26667 D This transaction was executed in multiple trades at prices ranging from $164.35 to $165.20. The price reported above reflects the weighted average sale price. /s/ Adam J. Gacek, attorney-in-fact 2016-10-24