-----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, I6j2KA+Sujol327mRAWFoYJihn8s6gY4DTMKLs6+SsU/RmnCyhArtVdFOSC8S4Qt bikQfVcy4WDlf4VMKrmI8g== 0001181431-05-033712.txt : 20050611 0001181431-05-033712.hdr.sgml : 20050611 20050608193723 ACCESSION NUMBER: 0001181431-05-033712 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050329 FILED AS OF DATE: 20050608 DATE AS OF CHANGE: 20050608 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: NUNNELLY MARK E CENTRAL INDEX KEY: 0001213410 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32242 FILM NUMBER: 05886202 MAIL ADDRESS: STREET 1: BAIN CAPITAL PARTNERS LLC STREET 2: 111 HUNTINGTON AVE CITY: BOSTON STATE: MA ZIP: 02199 4 1 rrd81643.xml NUNNELLY X0202 4 2005-03-29 0 0001286681 DOMINOS PIZZA INC DPZ 0001213410 NUNNELLY MARK E C/O BAIN CAPITAL, LLC 111 HUNTINGTON AVENUE BOSTON MA 02199 1 0 1 0 Non-Voting Common Stock, $.01 par value 2005-03-29 4 J 0 478080 A 478080 I See footnote. Non-Voting Common Stock, $.01 par value 2005-05-09 4 J 0 179218 A 657298 I See footnote. Non-Voting Common Stock, $.01 par value 2005-05-16 4 J 0 115651 A 772949 I See footnote. Bain Capital Investors, LLC ("BCI") is the sole general partner of Bain Capital Partners VI, L.P. ("Partners VI"). By virtue of this relationship, Mr. Nunnelly may be deemed to share voting and dispositive power with respect to the Non-Voting Common Stock held by Partners VI. Mr. Nunnelly disclaims beneficial ownership of the securities held by each of BCI and Partners VI except to the extent of his pecuniary interest therein. Distribution from an investment LLC. See Rule 16a-9 under the Securities Exchange Act of 1934. Shares of Non-Voting Common Stock are convertible on a one-to-one basis into shares of Domino's Pizza, Inc. Common Stock, $.01 par value, upon transfer to a non-affiliate of the holder or otherwise in a brokerage transaction. /s/ Mark E. Nunnelly 2005-06-08 -----END PRIVACY-ENHANCED MESSAGE-----