0001209191-17-057464.txt : 20171019 0001209191-17-057464.hdr.sgml : 20171019 20171019160951 ACCESSION NUMBER: 0001209191-17-057464 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171017 FILED AS OF DATE: 20171019 DATE AS OF CHANGE: 20171019 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WEINER RUSSELL J CENTRAL INDEX KEY: 0001622458 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32242 FILM NUMBER: 171144871 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] 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 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2017-10-17 0 0001286681 DOMINOS PIZZA INC DPZ 0001622458 WEINER RUSSELL J DOMINO'S PIZZA 30 FRANK LLOYD WRIGHT DRIVE ANN ARBOR MI 48105 0 1 0 0 President, Domino's U.S.A. Common Stock, $0.01 par value 2017-10-17 4 S 0 7276 195.00 D 17562.517 D Common Stock, $0.01 par value 743.292 I 401(k) Savings Plan /s/ Adam J. Gacek, attorney-in-fact 2017-10-19