0001209191-16-133711.txt : 20160722 0001209191-16-133711.hdr.sgml : 20160722 20160722162730 ACCESSION NUMBER: 0001209191-16-133711 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160720 FILED AS OF DATE: 20160722 DATE AS OF CHANGE: 20160722 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: ALLISON RICHARD E JR CENTRAL INDEX KEY: 0001622500 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32242 FILM NUMBER: 161779962 MAIL ADDRESS: STREET 1: 30 FRANK LLOYD WRIGHT DR CITY: ANN ARBOR STATE: MI ZIP: 48105 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-07-20 0 0001286681 DOMINOS PIZZA INC DPZ 0001622500 ALLISON RICHARD E JR DOMINO'S PIZZA 30 FRANK LLOYD WRIGHT DRIVE ANN ARBOR MI 48105 0 1 0 0 President, Domino's Int'l Common Stock, $0.01 par value 2016-07-20 4 A 0 2560 0.00 A 22080.489 D Common Stock, $0.01 par value 200 I Son Common Stock, $0.01 par value 100 I Daughter Option to Purchase Common Stock 136.89 2016-07-20 4 A 0 10850 0.00 A 2020-07-20 2026-07-20 Common Stock, $0.01 par value 10850 10850 D Represents a grant of performance-based restricted stock that shall vest one-fourth each year on the anniversary date of the issuance date if applicable performance conditions are achieved. Thus, one-fourth may vest on each of July 20, 2017, July 20, 2018, July 20, 2019 and July 20, 2020. The options to purchase common stock vest one-fourth each year on the anniversary date of the grant date. Thus, one-fourth shall vest on each of July 20, 2017, July 20, 2018, July 20, 2019 and July 20, 2020. /s/ Adam J. Gacek, attorney-in-fact 2016-07-22