0001209191-23-018589.txt : 20230314 0001209191-23-018589.hdr.sgml : 20230314 20230314180230 ACCESSION NUMBER: 0001209191-23-018589 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230310 FILED AS OF DATE: 20230314 DATE AS OF CHANGE: 20230314 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GARCIA KELLY E CENTRAL INDEX KEY: 0001826853 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32242 FILM NUMBER: 23732411 MAIL ADDRESS: STREET 1: 30 FRANK LLOYD WRIGH 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: 48105 BUSINESS PHONE: (734) 930-3030 MAIL ADDRESS: STREET 1: 30 FRANK LLOYD WRIGHT DRIVE CITY: ANN ARBOR STATE: MI ZIP: 48105 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2023-03-10 0 0001286681 DOMINOS PIZZA INC DPZ 0001826853 GARCIA KELLY E 30 FRANK LLOYD WRIGHT DR ANN ARBOR MI 48105 0 1 0 0 EVP, Chief Technology Officer Common Stock, $0.01 par value 2023-03-10 4 F 0 122 300.16 D 5257.49 D Common Stock, $0.01 par value 2023-03-10 4 A 0 2499 0.00 A 7756.49 D Option to Purchase Common Stock 300.16 2023-03-10 4 A 0 8220 0.00 A 2026-03-10 2033-03-10 Common Stock, $0.01 par value 8220 8220 D Includes 51.137 shares acquired under the Domino's Employee Stock Payroll Deduction Plan since the date of the last report. Represents a restricted stock unit award with service-based vesting criteria that shall vest one-third each year on the anniversary date of the grant date. Thus, one-third shall vest on each of March 10, 2024, March 10, 2025 and March 10, 2026. Shares are issued and delivered following each vesting tranche of the award. The options to purchase common stock vest one-third each year on the anniversary date of the grant date. Thus, one-third shall vest on each of March 10, 2024, March 10, 2025 and March 10, 2026. /s/ Kevin S. Morris, attorney-in-fact 2023-03-14