0001209191-17-012219.txt : 20170217 0001209191-17-012219.hdr.sgml : 20170217 20170217170454 ACCESSION NUMBER: 0001209191-17-012219 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: DOYLE J PATRICK CENTRAL INDEX KEY: 0001337160 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32242 FILM NUMBER: 17622221 MAIL ADDRESS: STREET 1: 30 FRANK LLOYD WRIGHT DRIVE CITY: ANN ARBOR STATE: MI ZIP: 48106 FORMER NAME: FORMER CONFORMED NAME: DOLYLE J PATRICK DATE OF NAME CHANGE: 20050826 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2017-02-15 0 0001286681 DOMINOS PIZZA INC DPZ 0001337160 DOYLE J PATRICK DOMINO'S PIZZA 30 FRANK LLOYD WRIGHT DRIVE ANN ARBOR MI 48106 1 1 0 0 President and CEO Option to Purchase Common Stock 2017-02-15 4 A 0 7720 0.00 A 52868.759 D Option to Purchase Common Stock 3293.156 I 401(k) Savings Plan Option to Purchase Common Stock 185.94 2017-02-15 4 A 0 45200 0.00 A 2021-02-15 2027-02-15 Common Stock, $0.01 par value 45200 45200 D Represents a grant of performance-based restricted stock that shall vest one-fourth each year on the anniversary date of the issuance date if applicable performance conditions are achieved. Thus, one-fourth may vest on each of February 15, 2018, February 15, 2019, February 15, 2020 and February 15, 2021. The options to purchase common stock vest one-fourth each year on the anniversary date of the grant date. Thus, one-fourth shall vest on each of February 15, 2018, February 15, 2019, February 15, 2020 and February 15, 2021. /s/ Adam J. Gacek, attorney-in-fact 2017-02-17