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