SEC Form 4 · accession 0001209191-18-060564
DOMINOS PIZZA INC · DPZ
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Richard E Allison Jr.
Officer — Chief Executive Officer · Director
Period of report
Nov 29, 2018
Accepted (ET)
Dec 3, 2018 · 4:18 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 value | Nov 29, 2018 | M | 5,000 | $14.53 | A | 44,864 | D | |
| Common Stock, $0.01 par valueF1 | Nov 29, 2018 | S | 5,000 | $279.31 | D | 39,864 | D | |
| Common Stock, $0.01 par valueF2 | Nov 29, 2018 | G | 280 | $0.00 | D | 39,584 | D | |
| Common Stock, $0.01 par valueF2 | Nov 29, 2018 | G | 94 | $0.00 | D | 39,490 | 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
| 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 | Nov 29, 2018 | M | 5,000 | D | Mar 14, 2014 | Mar 14, 2021 | Common Stock, $0.01 par value | 5,000 | 6,667 | D |
Explanation of responses
- F1This transaction was executed in multiple trades at prices ranging from $279.28 to $279.40. The price reported above reflects the weighted average sale price.
- F2Represents a bona fide gift by the Reporting Person with no payment in consideration.