SEC Form 4 · accession 0001209191-16-146763
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
Oct 20, 2016
Accepted (ET)
Oct 24, 2016 · 4:50 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 value | Oct 20, 2016 | M | 20,000 | $14.53 | A | 42,080 | D | |
| Common Stock, $0.01 par valueF1 | Oct 20, 2016 | S | 20,000 | $164.878 | D | 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 Stock | $14.53 | Oct 20, 2016 | M | 20,000 | D | Mar 14, 2014 | Mar 14, 2021 | Common Stock, $0.01 par value | 20,000 | 26,667 | D |
Explanation of responses
- F1This transaction was executed in multiple trades at prices ranging from $164.35 to $165.20. The price reported above reflects the weighted average sale price.