SEC Form 5 · accession 0001209191-18-009574
DOMINOS PIZZA INC · DPZ
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
James A Goldman
Director
Period of report
Dec 31, 2017
Accepted (ET)
Feb 13, 2018 · 4:44 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 | Nov 29, 2017 | G | 66 | $0.00 | D | 9,698 | D | |
| Common Stock, $0.01 par valueF1 | Nov 30, 2017 | G | 1,050 | $0.00 | D | 8,648 | D | |
| Common Stock, $0.01 par valueF1 | Dec 1, 2017 | G | 803 | $0.00 | D | 7,845 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1This transaction involved a gift of common stock of Domino's Pizza, Inc. by Mr. Goldman to charity. The transaction is exempt from Section 16(b) of the Securities Exchange Act of 1934, as amended (the "Act"), pursuant to Rule 16b-5 of the Act.