0001209191-23-045295.txt : 20230810
0001209191-23-045295.hdr.sgml : 20230810
20230810160603
ACCESSION NUMBER: 0001209191-23-045295
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230808
FILED AS OF DATE: 20230810
DATE AS OF CHANGE: 20230810
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: BALSON ANDREW
CENTRAL INDEX KEY: 0001212449
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-32242
FILM NUMBER: 231159291
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: DOMINOS PIZZA INC
CENTRAL INDEX KEY: 0001286681
STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-GROCERIES & RELATED PRODUCTS [5140]
IRS NUMBER: 382511577
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0102
BUSINESS ADDRESS:
STREET 1: 30 FRANK LLOYD WRIGHT DRIVE
CITY: ANN ARBOR
STATE: MI
ZIP: 48105
BUSINESS PHONE: (734) 930-3030
MAIL ADDRESS:
STREET 1: 30 FRANK LLOYD WRIGHT DRIVE
CITY: ANN ARBOR
STATE: MI
ZIP: 48105
4
1
doc4.xml
FORM 4 SUBMISSION
X0508
4
2023-08-08
0
0001286681
DOMINOS PIZZA INC
DPZ
0001212449
BALSON ANDREW
C/O DOMINO'S PIZZA
30 FRANK LLOYD WRIGHT DRIVE
ANN ARBOR
MI
48105
1
0
0
0
0
Common Stock, $0.01 par value
2023-08-08
4
S
0
1432
396.058
D
32865
D
Common Stock, $0.01 par value
2023-08-08
4
S
0
2448
396.995
D
30417
D
Common Stock, $0.01 par value
2023-08-08
4
S
0
983
398.123
D
29434
D
Common Stock, $0.01 par value
2023-08-08
4
S
0
200
398.74
D
29234
D
Common Stock, $0.01 par value
2023-08-09
4
G
0
7575
0.00
D
21659
D
Common Stock, $0.01 par value
25310
I
Andrew B. Balson 2004 Irrevocable Family Trust
Common Stock, $0.01 par value
6870
I
Andrew B. Balson 2011 Irrevocable Family Trust
This transaction was executed in multiple trades at prices ranging from $395.63 to $396.60. The price reported above reflects the weighted average sale price.
This transaction was executed in multiple trades at prices ranging from $396.65 to $397.585. The price reported above reflects the weighted average sale price.
This transaction was executed in multiple trades at prices ranging from $397.65 to $398.605. The price reported above reflects the weighted average sale price.
The transaction reported represents a gift by the reporting person to a charitable donor-advised fund. 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.
/s/ Kevin S. Morris, attorney-in-fact
2023-08-10