-----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, NrYS+le9+IkyQ/KFaHGfI2z5Se4JAUESkse9kK0tlz6Fh8QqCaEK/OalBK0p4QUh OdrK6JoTax2gyT7rgjkf3A== 0001181431-04-034999.txt : 20040713 0001181431-04-034999.hdr.sgml : 20040713 20040713125935 ACCESSION NUMBER: 0001181431-04-034999 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040713 FILED AS OF DATE: 20040713 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ROSENBERG ROBERT M CENTRAL INDEX KEY: 0001206232 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32242 FILM NUMBER: 04911654 BUSINESS ADDRESS: STREET 1: 101 PARK AVE. CITY: OKLAHOMA CITY STATE: OK ZIP: 73102 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 3 1 rrd46470.xml DOMINO'S PIZZA, INC. IPO X0202 3 2004-07-13 0 0001286681 DOMINOS PIZZA INC DPZ 0001206232 ROSENBERG ROBERT M 4 CHADWICK RD. WESTON MA 02493 1 0 0 0 Common Stock, $.01 par value 90648 D Option to Purchase Common Stock .75 2003-06-25 2009-05-06 Common Stock, $.01 par value 37036 D Option to Purchase Common Stock 8.66 2004-07-01 2013-07-01 Common Stock, $.01 par value 5000 D Option to Purchase Common Stock 14.00 2005-07-13 2014-07-13 Common Stock $.01 par value 5000 D /s/ Robert M. Rosenberg 2004-07-13 -----END PRIVACY-ENHANCED MESSAGE-----