0000950170-24-007953.txt : 20240126 0000950170-24-007953.hdr.sgml : 20240126 20240126161941 ACCESSION NUMBER: 0000950170-24-007953 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240124 FILED AS OF DATE: 20240126 DATE AS OF CHANGE: 20240126 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HEADEN CYNTHIA A CENTRAL INDEX KEY: 0001821840 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32242 FILM NUMBER: 24568038 MAIL ADDRESS: STREET 1: 30 FRANK LLOYD WRIGHT DR CITY: ANN ARBOR STATE: MI ZIP: 48105 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: DOMINOS PIZZA INC CENTRAL INDEX KEY: 0001286681 STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-GROCERIES & RELATED PRODUCTS [5140] ORGANIZATION NAME: 07 Trade & Services 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 ownership.xml 4 X0508 4 2024-01-24 0001286681 DOMINOS PIZZA INC DPZ 0001821840 HEADEN CYNTHIA A 30 FRANK LLOYD WRIGHT DRIVE ANN ARBOR MI 48105 false true false false EVP, Chief Supply Chain Offr false Common Stock, $0.01 par value 2024-01-24 4 A false 285 0 A 4525.599 D Common Stock, $0.01 par value 2024-01-24 4 F false 97 421.77 D 4428.599 D Common Stock, $0.01 par value 22.368 I Owned by spouse Represents the number of shares earned upon vesting of performance-based restricted stock units ("PSUs") granted to the reporting person in 2021; number of shares earned is based on the Compensation Committee's certification of the Company's performance achieved during the three-year performance period ended December 31, 2023 under the terms of the PSU awards. Includes 48.846 shares acquired under the Domino's Employee Stock Payroll Deduction Plan since the date of the last report. Represents shares withheld to satisfy tax withholding obligations upon the January 24, 2024 PSU vesting described in footnote 1 above. /s/ Kevin S. Morris, attorney-in-fact 2024-01-26