0001209191-21-028992.txt : 20210429
0001209191-21-028992.hdr.sgml : 20210429
20210429160728
ACCESSION NUMBER: 0001209191-21-028992
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210427
FILED AS OF DATE: 20210429
DATE AS OF CHANGE: 20210429
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: 21870537
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
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
2021-04-27
0
0001286681
DOMINOS PIZZA INC
DPZ
0001647814
BALLARD ANDY
C/O DOMINO'S PIZZA
30 FRANK LLOYD WRIGHT DRIVE
ANN ARBOR
MI
48105
1
0
0
0
Common Stock, $0.01 par value
2021-04-27
4
A
0
399
0.00
A
2302.748
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 April 27, 2022.
Includes 8.851 shares of common stock acquired through dividend reinvestments since the date of the last report.
/s/ Kevin S. Morris, attorney-in-fact
2021-04-29