0001209191-21-024592.txt : 20210402
0001209191-21-024592.hdr.sgml : 20210402
20210402162317
ACCESSION NUMBER: 0001209191-21-024592
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210331
FILED AS OF DATE: 20210402
DATE AS OF CHANGE: 20210402
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: HEADEN CYNTHIA A
CENTRAL INDEX KEY: 0001821840
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-32242
FILM NUMBER: 21802243
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
FISCAL YEAR END: 1229
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
2021-03-31
0
0001286681
DOMINOS PIZZA INC
DPZ
0001821840
HEADEN CYNTHIA A
30 FRANK LLOYD WRIGHT DR
ANN ARBOR
MI
48105
0
1
0
0
EVP, Supply Chain Services
Common Stock, $0.01 par value
2021-03-31
4
A
0
578
0.00
A
3105.218
D
Common Stock, $0.01 par value
22.368
I
Owned by spouse
Option to Purchase Common Stock
367.79
2021-03-31
4
A
0
1137
0.00
A
2024-03-31
2031-03-31
Common Stock, $0.01 par value
1137
1137
D
Represents a restricted stock unit award with service-based vesting criteria that shall vest one-third each year on the anniversary date of the grant date. Thus, one-third shall vest on each of March 31, 2022, March 31, 2023 and March 31, 2024. Shares are issued and delivered following each vesting tranche of the award.
Includes 65.876 shares acquired under the Domino's Employee Stock Payroll Deduction Plan since the date of the last report.
The options to purchase common stock vest one-third each year on the anniversary date of the grant date. Thus, one-third shall vest on each of March 31, 2022, March 31, 2023 and March 31, 2024.
/s/ Kevin S. Morris, attorney-in-fact
2021-04-02