0001209191-23-025830.txt : 20230427 0001209191-23-025830.hdr.sgml : 20230427 20230427160536 ACCESSION NUMBER: 0001209191-23-025830 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230425 FILED AS OF DATE: 20230427 DATE AS OF CHANGE: 20230427 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: 23856778 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 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 X0407 4 2023-04-25 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 0 Common Stock, $0.01 par value 2023-04-25 4 A 0 531 0.00 A 3352.952 D Represents a grant of restricted stock units for his service on the Company's Board of Directors that shall vest 100% on the first anniversary of the issuance date. Thus, all shares shall vest on April 25, 2024. Includes 29.647 shares of common stock acquired through dividend reinvestments since the date of the last report. /s/ Kevin S. Morris, attorney-in-fact 2023-04-27