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