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