0001209191-23-054693.txt : 20231108 0001209191-23-054693.hdr.sgml : 20231108 20231108161057 ACCESSION NUMBER: 0001209191-23-054693 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 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: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32242 FILM NUMBER: 231387942 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 4 1 doc4.xml FORM 4 SUBMISSION X0508 4 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 0 Common Stock, $0.01 par value 2023-11-06 4 A 0 94 0.00 A 2594 D 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 November 6, 2024, November 6, 2025 and November 6, 2026. Shares are issued and delivered following each vesting tranche of the award. /s/ Kevin S. Morris, attorney-in-fact 2023-11-08