0000950170-24-030896.txt : 20240313 0000950170-24-030896.hdr.sgml : 20240313 20240313170422 ACCESSION NUMBER: 0000950170-24-030896 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240312 FILED AS OF DATE: 20240313 DATE AS OF CHANGE: 20240313 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: JACKSON SAM CENTRAL INDEX KEY: 0001998218 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32242 FILM NUMBER: 24746889 MAIL ADDRESS: STREET 1: 30 FRANK LLOYD WRIGHT DRIVE 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 2024-03-12 0001286681 DOMINOS PIZZA INC DPZ 0001998218 JACKSON SAM 30 FRANK LLOYD WRIGHT DRIVE ANN ARBOR MI 48105 false true false false EVP, Human Resources false Common Stock, $0.01 par value 2024-03-12 4 F false 113 443.9 D 2481 D Common Stock, $0.01 par value 2024-03-12 4 F false 34 443.9 D 2447 D Common Stock, $0.01 par value 2024-03-12 4 F false 31 443.9 D 2416 D /s/ Kevin S. Morris, attorney-in-fact 2024-03-13