0001209191-21-063380.txt : 20211108
0001209191-21-063380.hdr.sgml : 20211108
20211108161846
ACCESSION NUMBER: 0001209191-21-063380
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211104
FILED AS OF DATE: 20211108
DATE AS OF CHANGE: 20211108
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: 211388230
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
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0102
BUSINESS ADDRESS:
STREET 1: 30 FRANK LLOYD WRIGHT DRIVE
CITY: ANN ARBOR
STATE: MI
ZIP: 48106
BUSINESS PHONE: (734) 930-3030
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
2021-11-04
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
2021-11-04
4
M
0
515
212.52
A
3464.218
D
Common Stock, $0.01 par value
2021-11-04
4
S
0
515
500.00
D
2949.218
D
Common Stock, $0.01 par value
2021-11-04
4
M
0
675
283.68
A
3624.218
D
Common Stock, $0.01 par value
2021-11-04
4
S
0
675
500.00
D
2949.218
D
Common Stock, $0.01 par value
2021-11-04
4
S
0
375
500.00
D
2574.218
D
Common Stock, $0.01 par value
22.368
I
Owned by spouse
Option to Purchase Common Stock
212.52
2021-11-04
4
M
0
515
0.00
D
2021-07-19
2027-07-19
Common Stock, $0.01 par value
515
0
D
Option to Purchase Common Stock
283.68
2021-11-04
4
M
0
675
0.00
D
2022-07-18
2028-07-18
Common Stock, $0.01 par value
675
225
D
The transactions reported herein were effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on October 19, 2021.
/s/ Kevin S. Morris, attorney-in-fact
2021-11-08