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