SEC Form 4 · accession 0001181431-15-003621
DOMINOS PIZZA INC · DPZ
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
James A Goldman
Director
Period of report
Feb 26, 2015
Accepted (ET)
Mar 2, 2015 · 4:30 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001286681
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock, $0.01 par valueF1 | Feb 26, 2015 | G | 3,000 | $0.00 | D | 18,522 | D | |
| Common Stock, $0.01 par value | Feb 26, 2015 | M | 6,000 | $12.74 | A | 24,522 | D | |
| Common Stock, $0.01 par value | Feb 26, 2015 | S | 6,000 | $103.90 | D | 18,522 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Option to Purchase Common Stock | $12.74 | Feb 26, 2015 | M | 6,000 | D | Mar 1, 2011 | Mar 1, 2020 | Common Stock, $0.01 par value | 6,000 | 0 | D |
Explanation of responses
- F1This transaction involved a gift of Domino's Pizza common stock by James A. Goldman to charity.