0001209191-22-010195.txt : 20220216 0001209191-22-010195.hdr.sgml : 20220216 20220216162042 ACCESSION NUMBER: 0001209191-22-010195 CONFORMED SUBMISSION TYPE: 3/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200219 FILED AS OF DATE: 20220216 DATE AS OF CHANGE: 20220216 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MORRIS KEVIN SCOTT CENTRAL INDEX KEY: 0001804390 FILING VALUES: FORM TYPE: 3/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-32242 FILM NUMBER: 22643834 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 3/A 1 doc3a.xml FORM 3/A SUBMISSION X0206 3/A 2020-02-19 2020-02-28 0 0001286681 DOMINOS PIZZA INC DPZ 0001804390 MORRIS KEVIN SCOTT DOMINO'S PIZZA 30 FRANK LLOYD WRIGHT DRIVE ANN ARBOR MI 48105 0 1 0 0 EVP, Gen'l Counsel, Secretary Common Stock, $0.01 par value 3389 D Includes 279 shares of common stock representing the final tranche of an original grant of performance-based restricted stock that shall vest on January 3, 2021 if applicable performance conditions are achieved. Includes 516 shares of common stock representing the final two tranches of an original grant of performance-based restricted stock that shall vest one-half on each of July 19, 2020 and July 19, 2021 if applicable performance conditions are achieved. Includes 615 shares of common stock representing the final three tranches of an original grant of performance-based restricted stock that shall vest one-third on each of July 18, 2020, July 18, 2021 and July 18, 2022 if applicable performance conditions are achieved. Includes 890 shares of common stock representing a grant of performance-based restricted stock that shall vest one-fourth on each of July 10, 2020, July 10, 2021, July 10, 2022 and July 10, 2023 if applicable performance conditions are achieved. This Form 3/A is being filed to correct the number of securities beneficially owned by the reporting person, which was overstated by 94 shares in his original Form 3 filing due to a clerical error and was carried forward in his subsequent Form 4 filings. This amendment to Form 3 reflects the correct amount of securities beneficially owned by the reporting person as of the time of filing of the original Form 3. /s/ Joseph W. Clementz, attorney-in-fact 2022-02-16