SEC Form 4 · accession 0001209191-16-133711
DOMINOS PIZZA INC · DPZ
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Richard E Allison Jr.
Officer — President, Domino's Int'l
Period of report
Jul 20, 2016
Accepted (ET)
Jul 22, 2016 · 4:27 pm EDT
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 | Jul 20, 2016 | A | 2,560 | $0.00 | A | 22,080 | D | |
| Common Stock, $0.01 par value | holding | — | — | — | 200 | I | Son | |
| Common Stock, $0.01 par value | holding | — | — | — | 100 | I | Daughter |
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 StockF2 | $136.89 | Jul 20, 2016 | A | 10,850 | A | Jul 20, 2020 | Jul 20, 2026 | Common Stock, $0.01 par value | 10,850 | 10,850 | D |
Explanation of responses
- F1Represents a grant of performance-based restricted stock that shall vest one-fourth each year on the anniversary date of the issuance date if applicable performance conditions are achieved. Thus, one-fourth may vest on each of July 20, 2017, July 20, 2018, July 20, 2019 and July 20, 2020.
- F2The options to purchase common stock vest one-fourth each year on the anniversary date of the grant date. Thus, one-fourth shall vest on each of July 20, 2017, July 20, 2018, July 20, 2019 and July 20, 2020.