0001209191-18-010846.txt : 20180216 0001209191-18-010846.hdr.sgml : 20180216 20180216162231 ACCESSION NUMBER: 0001209191-18-010846 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180214 FILED AS OF DATE: 20180216 DATE AS OF CHANGE: 20180216 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: 18621489 MAIL ADDRESS: STREET 1: ONE MARITIME PLAZA STREET 2: SUITE 1350 CITY: SAN FRANCISCO STATE: CA ZIP: 94111 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 2018-02-14 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 2018-02-14 4 A 0 590 0.00 A 3051 D Represents a grant of restricted stock that shall vest 100% on the first anniversary of the issuance date. Thus, all shares shall vest on February 14, 2019. /s/ Adam J. Gacek, attorney-in-fact 2018-02-16