0001209191-17-045926.txt : 20170721 0001209191-17-045926.hdr.sgml : 20170721 20170721160658 ACCESSION NUMBER: 0001209191-17-045926 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170719 FILED AS OF DATE: 20170721 DATE AS OF CHANGE: 20170721 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: 17976682 MAIL ADDRESS: STREET 1: 30 FRANK LLOYD WRIGHT DR CITY: ANN ARBOR STATE: MI ZIP: 48105 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 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2017-07-19 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 2017-07-19 4 A 0 1770 0.00 A 21420.357 D Common Stock, $0.01 par value 2017-07-20 4 F 0 296 212.44 D 21124.357 D Common Stock, $0.01 par value 250 I Son Common Stock, $0.01 par value 150 I Daughter Option to Purchase Common Stock 212.52 2017-07-19 4 A 0 7330 0.00 A 2021-07-19 2027-07-19 Common Stock, $0.01 par value 7330 7330 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 July 19, 2018, July 19, 2019, July 19, 2020 and July 19, 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 July 19, 2018, July 19, 2019, July 19, 2020 and July 19, 2021. /s/ Adam J. Gacek, attorney-in-fact 2017-07-21