0001209191-23-054509.txt : 20231106 0001209191-23-054509.hdr.sgml : 20231106 20231106160843 ACCESSION NUMBER: 0001209191-23-054509 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231102 FILED AS OF DATE: 20231106 DATE AS OF CHANGE: 20231106 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: 231380033 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 X0508 4 2023-11-02 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 2023-11-02 4 S 0 428 350.14 D 2306.627 D Includes 14.675 shares of common stock acquired through dividend reinvestments since the date of the last report. /s/ Kevin S. Morris, attorney-in-fact 2023-11-06