-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, VOfaQlL6FBePMCaWtpbB+3BLbcgseikf7kIm8XXpt9rzjKIrAX44jtBQo/PmCWVa hOsYUjUnTcDjjI4ViIfNgA== 0001181431-05-067651.txt : 20051219 0001181431-05-067651.hdr.sgml : 20051219 20051219160855 ACCESSION NUMBER: 0001181431-05-067651 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20051205 FILED AS OF DATE: 20051219 DATE AS OF CHANGE: 20051219 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: DOMINOS PIZZA INC CENTRAL INDEX KEY: 0001286681 STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-GROCERIES & RELATED PRODUCTS [5140] IRS NUMBER: 382511577 BUSINESS ADDRESS: STREET 1: 30 FRANK LLOYD WRIGHT DRIVE CITY: ANN ARBOR STATE: MI ZIP: 48106 MAIL ADDRESS: STREET 1: 30 FRANK LLOYD WRIGHT DRIVE CITY: ANN ARBOR STATE: MI ZIP: 48106 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BRANDON DAVID CENTRAL INDEX KEY: 0001065739 STATE OF INCORPORATION: MI FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32242 FILM NUMBER: 051272675 BUSINESS ADDRESS: STREET 1: 12028 HUNTERS CREEK DRIVE CITY: PLYMOUTH STATE: MI ZIP: 48170 BUSINESS PHONE: 7344543558 MAIL ADDRESS: STREET 1: C/O DOMINO PIZZZA STREET 2: 30 FRANK LL0YD WRIGHT DR CITY: ANN ARBOR STATE: MI ZIP: 48106 4 1 rrd100660.xml DOMINO'S PIZZA, INC. 10B5-1 12-15 X0202 4 2005-12-05 0 0001286681 DOMINOS PIZZA INC DPZ 0001065739 BRANDON DAVID C/O DOMINO'S PIZZA, INC. 30 FRANK LLOYD WRIGHT DRIVE ANN ARBOR MI 48106 1 1 0 0 Chief Executive Officer Common Stock, $.01 par value 2005-12-05 5 G 0 60000 0 D 73078 D Common Stock, $.01 par value 2005-12-05 5 G 0 60000 .75 A 60000 I Owned by the David A. Brandon Foundation Common Stock, $.01 par value 2005-12-15 4 M 0 17500 .75 A 73078 D Common Stock, $.01 par value 2005-12-15 4 S 0 200 24.49 D 73078 D Common Stock, $.01 par value 2005-12-15 4 S 0 13400 24.5 D 73078 D Common Stock, $.01 par value 2005-12-15 4 S 0 1200 24.51 D 73078 D Common Stock, $.01 par value 2005-12-15 4 S 0 300 24.52 D 73078 D Common Stock, $.01 par value 2005-12-15 4 S 0 100 24.48 D 73078 D Common Stock, $.01 par value 2005-12-15 4 S 0 200 24.67 D 73078 D Common Stock, $.01 par value 2005-12-15 4 S 0 200 24.7 D 73078 D Common Stock, $.01 par value 2005-12-15 4 S 0 800 24.71 D 73078 D Common Stock, $.01 par value 2005-12-15 4 S 0 1100 24.75 D 73078 D Option to purchase Common Stock .75 2005-12-15 4 M 0 17500 0 D 2004-03-31 2009-03-31 Common Stock, $.01 par value 17500 77500 D This transaction involved a gift of 60,000 shares of Domino's Pizza, Inc. common stock by the reporting person to the David A. Brandon Foundation, a non profit foundation. /s/ Adam J. Gacek, Attorney in Fact 2005-12-19 -----END PRIVACY-ENHANCED MESSAGE-----