0001209191-23-054689.txt : 20231108
0001209191-23-054689.hdr.sgml : 20231108
20231108160929
ACCESSION NUMBER: 0001209191-23-054689
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20231106
FILED AS OF DATE: 20231108
DATE AS OF CHANGE: 20231108
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: JACKSON SAM
CENTRAL INDEX KEY: 0001998218
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-32242
FILM NUMBER: 231387900
MAIL ADDRESS:
STREET 1: 30 FRANK LLOYD WRIGHT DRIVE
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
3
1
doc3.xml
FORM 3 SUBMISSION
X0206
3
2023-11-06
0
0001286681
DOMINOS PIZZA INC
DPZ
0001998218
JACKSON SAM
30 FRANK LLOYD WRIGHT DR
ANN ARBOR
MI
48105
0
1
0
0
EVP, Human Resources
Common Stock, $0.01 par value
2500
D
Option to Purchase Common Stock
283.68
2022-07-18
2028-07-18
Common Stock, $0.01 par value
520
D
Option to Purchase Common Stock
275.35
2023-07-10
2029-07-10
Common Stock, $0.01 par value
590
D
Option to Purchase Common Stock
413.68
2024-07-15
2030-07-15
Common Stock, $0.01 par value
380
D
Option to Purchase Common Stock
413.68
2024-07-15
2030-07-15
Common Stock, $0.01 par value
120
D
Option to Purchase Common Stock
367.79
2024-03-31
2031-03-31
Common Stock, $0.01 par value
450
D
Option to Purchase Common Stock
393.14
2025-03-10
2032-03-10
Common Stock, $0.01 par value
429
D
Option to Purchase Common Stock
300.16
2026-03-10
2033-03-10
Common Stock, $0.01 par value
530
D
Includes 75 shares of common stock representing the final tranche of an original grant of performance-based restricted stock that shall vest on July 15, 2024 if applicable performance conditions are achieved.
Includes 25 shares of common stock representing the final tranche of an original grant of performance-based restricted stock that shall vest on July 15, 2024 if applicable performance conditions are achieved.
Includes 115 shares of common stock representing the final tranche of an original restricted stock unit award with service-based vesting criteria that shall vest on March 31, 2024. Shares are issued and delivered following each vesting tranche of the award.
Includes 147 shares of common stock representing the final tranche of an original restricted stock unit award with service-based vesting criteria that shall vest on July 19, 2024. Shares are issued and delivered following each vesting tranche of the award.
Includes 1,578 shares of common stock representing an original restricted stock unit award with service-based vesting criteria that shall vest one-fourth on March 10, 2024, one-fourth on March 10, 2025 and one-half on March 10, 2026. Shares are issued and delivered following each vesting tranche of the award.
Includes 237 shares of common stock representing the final two tranches of an original restricted stock unit award with service-based vesting criteria that shall vest one-half on each of March 10, 2024 and March 10, 2025. Shares are issued and delivered following each vesting tranche of the award.
Includes 323 shares of common stock representing an original restricted stock unit award with service-based vesting criteria that shall vest one-third 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-fourth each year on the anniversary date of the grant date. Thus, one-fourth vested on each of July 15, 2021, July 15, 2022 and July 15, 2023 and one-fourth shall vest on July 15, 2024.
The options to purchase common stock vest one-third each year on the anniversary date of the grant date. Thus, one-third vested on each of March 31, 2022 and March 31, 2023 and one-third shall vest on March 31, 2024.
The options to purchase common stock vest one-third each year on the anniversary date of the grant date. Thus, one-third vested on March 10, 2023 and one-third shall vest on each of March 10, 2024 and March 10, 2025.
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
2023-11-08
EX-24
2
poa.txt
POA DOCUMENT
POWER OF ATTORNEY
Know all by these present, that the undersigned hereby constitutes and appoints
Kevin S. Morris, Joseph W. Clementz and Stacey M. Rodriguez, signing singly, the
undersigned's true and lawful attorney-in-fact to:
(1) execute for and on behalf of the undersigned, in the undersigned's capacity
as an officer and/or director of Domino's Pizza, Inc. (the "Company"), Forms 3,
4, and 5 in accordance with Section 16(a) of the Securities Exchange Act of 1934
and the rules thereunder;
(2) do and perform any and all acts for and on behalf of the undersigned which
may be necessary or desirable to complete and execute any such Form 3, 4, or 5,
complete and execute any amendment or amendments thereto, and timely file such
form with the United States Securities and Exchange Commission and any stock
exchange or similar authority; and
(3) take any other action of any type whatsoever in connection with the
foregoing which, in the opinion of such attorney-in-fact, may be of benefit to,
in the best interest of, or legally required by, the undersigned, it being
understood that the documents executed by such attorney-in-fact on behalf of the
undersigned pursuant to this Power of Attorney shall be in such form and shall
contain such terms and conditions as such attorney-in-fact may approve in such
attorney-in-fact's discretion.
The undersigned hereby grants to each such attorney-in-fact full power and
authority to do and perform any and every act and thing whatsoever requisite,
necessary, or proper to be done in the exercise of any of the rights and powers
herein granted, as fully to all intents and purposes as the undersigned might or
could do if personally present, with full power of substitution or revocation,
hereby ratifying and confirming all that such attorney-in-fact, or such
attorney-in-fact's substitute or substitutes, shall lawfully do or cause to be
done by virtue of this power of attorney and the rights and powers herein
granted. The undersigned acknowledges that the foregoing attorneys-in-fact, in
serving in such capacity at the request of the undersigned, are not assuming,
nor is the Company assuming, any of the undersigned's responsibilities to comply
with Section 16 of the Securities Exchange Act of 1934.
This Power of Attorney shall remain in full force and effect until the
undersigned is no longer required to file Forms 3, 4, and 5 with respect to the
undersigned's holdings of and transactions in securities issued by the Company,
unless earlier revoked by the undersigned in a signed writing delivered to the
foregoing attorneys-in-fact.
IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be
executed as of this 18th of October, 2023.
/s/ Sam Jackson
Print: Sam Jackson
WITNESS:
/s/ Mary Allen
Print: Mary Allen