SEC Form 5 · accession 0001209191-18-009578
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
Dec 31, 2017
Accepted (ET)
Feb 13, 2018 · 4:46 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 9, 2017 | G | 100 | $0.00 | D | 21,024 | D | |
| Common Stock, $0.01 par value | holding | — | — | — | 250 | I | Son | |
| Common Stock, $0.01 par value | holding | — | — | — | 250 | I | Daughter |
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. Allison to his daughter. The shares are now included in Mr. Allison's indirect holdings on this report. This 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.