SEC Form 4 · accession 0001209191-17-045931
DOMINOS PIZZA INC · DPZ
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Russell J Weiner
Officer — President, Domino's U.S.A.
Period of report
Jul 19, 2017
Accepted (ET)
Jul 21, 2017 · 4:08 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 19, 2017 | A | 1,770 | $0.00 | A | 25,135 | D | |
| Common Stock, $0.01 par value | Jul 20, 2017 | F | 296 | $212.44 | D | 24,839 | D | |
| Common Stock, $0.01 par value | holding | — | — | — | 743 | I | 401(k) Savings Plan |
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 | $212.52 | Jul 19, 2017 | A | 7,330 | A | Jul 19, 2021 | Jul 19, 2027 | Common Stock, $0.01 par value | 7,330 | 7,330 | 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 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.