SEC Form 4 · accession 0001209191-17-045929

DOMINOS PIZZA INC · DPZ

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Officer — Chief Financial Officer

Period of report

Jul 19, 2017

Accepted (ET)

Jul 21, 2017 · 4:07 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^F1	Jul 19, 2017	A	1,180	$0.00	A	17,442	D
Common Stock, $0.01 par value	Jul 20, 2017	F	201	$212.44	D	17,241	D

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Option to Purchase Common Stock^F2	$212.52	Jul 19, 2017	A	4,890	A	Jul 19, 2021	Jul 19, 2027	Common Stock, $0.01 par value	4,890	4,890	D

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 19, 2018, July 19, 2019, July 19, 2020 and July 19, 2021.
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 19, 2018, July 19, 2019, July 19, 2020 and July 19, 2021.