0001209191-17-012202.txt : 20170217
0001209191-17-012202.hdr.sgml : 20170217
20170217165919
ACCESSION NUMBER: 0001209191-17-012202
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170215
FILED AS OF DATE: 20170217
DATE AS OF CHANGE: 20170217
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: BALLARD ANDY
CENTRAL INDEX KEY: 0001647814
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-32242
FILM NUMBER: 17622118
MAIL ADDRESS:
STREET 1: ONE MARITIME PLAZA
STREET 2: SUITE 1350
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94111
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2017-02-15
0
0001286681
DOMINOS PIZZA INC
DPZ
0001647814
BALLARD ANDY
ONE MARITIME PLAZA
SUITE 1350
SAN FRANCISCO
CA
94111
1
0
0
0
Common Stock, $0.01 par value
2017-02-15
4
A
0
600
0.00
A
2461
D
The shares of common stock represent a grant of restricted stock that shall vest 100% on the first anniversary of the issuance date. Thus, all shares shall vest on February 15, 2018.
/s/ Adam J. Gacek, atttorney-in-fact
2017-02-17