0001209191-17-015293.txt : 20170228 0001209191-17-015293.hdr.sgml : 20170228 20170228162412 ACCESSION NUMBER: 0001209191-17-015293 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170227 FILED AS OF DATE: 20170228 DATE AS OF CHANGE: 20170228 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: WEINER RUSSELL J CENTRAL INDEX KEY: 0001622458 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32242 FILM NUMBER: 17648005 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 2017-02-27 0 0001286681 DOMINOS PIZZA INC DPZ 0001622458 WEINER RUSSELL J DOMINO'S PIZZA 30 FRANK LLOYD WRIGHT DRIVE ANN ARBOR MI 48105 0 1 0 0 President, Domino's U.S.A. Common Stock, $0.01 par value 2017-02-27 4 F 0 1287 185.42 D 24808.517 D Common Stock, $0.01 par value 743.834 I 401(k) Savings Plan Includes 157.868 shares acquired under the Domino's Employee Stock Payroll Deduction Plan since the date of the last report. /s/ Adam J. Gacek, attorney-in-fact 2017-02-28