0001209191-20-054531.txt : 20201009
0001209191-20-054531.hdr.sgml : 20201009
20201009172424
ACCESSION NUMBER: 0001209191-20-054531
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20201002
FILED AS OF DATE: 20201009
DATE AS OF CHANGE: 20201009
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: GARCIA KELLY E
CENTRAL INDEX KEY: 0001826853
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-32242
FILM NUMBER: 201233992
MAIL ADDRESS:
STREET 1: 30 FRANK LLOYD WRIGH 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
FISCAL YEAR END: 1229
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
3
1
doc3.xml
FORM 3 SUBMISSION
X0206
3
2020-10-02
0
0001286681
DOMINOS PIZZA INC
DPZ
0001826853
GARCIA KELLY E
30 FRANK LLOYD WRIGHT DR
ANN ARBOR
MI
48105
0
1
0
0
EVP. Chief Technology Officer
Common Stock, $0.01 par value
3894.031
D
Option to Purchase Common Stock
118.54
2019-07-15
2025-07-15
Common Stock, $0.01 par value
2200
D
Option to Purchase Common Stock
136.89
2020-07-20
2026-07-20
Common Stock, $0.01 par value
1950
D
Option to Purchase Common Stock
168.21
2020-11-07
2026-11-07
Common Stock, $0.01 par value
4870
D
Option to Purchase Common Stock
212.52
2021-07-19
2027-07-19
Common Stock, $0.01 par value
1540
D
Option to Purchase Common Stock
283.68
2022-07-18
2028-07-18
Common Stock, $0.01 par value
1370
D
Option to Purchase Common Stock
275.35
2023-07-10
2029-07-10
Common Stock, $0.01 par value
1010
D
Option to Purchase Common Stock
275.35
2023-07-10
2029-07-10
Common Stock, $0.01 par value
290
D
Option to Purchase Common Stock
413.68
2024-07-15
2030-07-15
Common Stock, $0.01 par value
180
D
Option to Purchase Common Stock
413.68
2024-07-15
2030-07-15
Common Stock, $0.01 par value
670
D
Option to Purchase Common Stock
433.78
2024-10-02
2030-10-02
Common Stock, $0.01 par value
340
D
Includes 299 shares of common stock representing the final tranche of an original grant of performance-based restricted stock that shall vest on November 7, 2020.
Includes 189 shares of common stock representing the final tranche of an original grant of performance-based restricted stock that shall vest on July 19, 2021 if applicable performance conditions are achieved.
Includes 296 shares of common stock representing the final two tranches of an original grant of performance-based restricted stock that shall vest one-half on each of July 18, 2021 and July 18, 2022 if applicable performance conditions are achieved.
Includes 540 shares of common stock representing the final three tranches of an original grant of performance-based restricted stock that shall vest one-third on each of July 10, 2021, July 10, 2022 and July 10, 2023 if applicable performance conditions are achieved.
Includes 158 shares of common stock representing the final three tranches of an original grant of performance-based restricted stock that shall vest one-third on each of July 10, 2021, July 10, 2022 and July 10, 2023 if applicable performance conditions are achieved.
Includes 140 shares of common stock representing an original grant of performance-based restricted stock that shall vest one-fourth on each of July 15, 2021, July 15, 2022, July 15, 2023 and July 15, 2024 if applicable performance conditions are achieved.
Includes 510 shares of common stock representing an original grant of performance-based restricted stock that shall vest one-fourth on each of July 15, 2021, July 15, 2022, July 15, 2023 and July 15, 2024 if applicable performance conditions are achieved.
Includes 90 shares of common stock representing an original grant of performance-based restricted stock that shall vest one-fourth on each of October 2, 2021, October 2, 2022, October 2, 2023 and October 2, 2024 if applicable performance conditions are achieved.
The options to purchase common stock vest one-fourth each year on the anniversary date of the grant date. Thus, one-fourth vested on each of November 7, 2017, November 7, 2018 and November 7, 2019 and one-fourth shall vest on November 7, 2020.
The options to purchase common stock vest one-fourth each year on the anniversary date of the grant date. Thus, one-fourth vested on each of July 19, 2018, July 19, 2019 and July 19, 2020 and one-fourth shall vest on July 19, 2021.
The options to purchase common stock vest one-fourth each year on the anniversary date of the grant date. Thus, one-fourth vested on each of July 18, 2019 and July 18, 2020 and one-fourth shall vest on each of July 18, 2021 and July 18, 2022.
The options to purchase common stock vest one-fourth each year on the anniversary date of the grant date. Thus, one-fourth vested on July 10, 2020 and one-fourth shall vest on each of July 10, 2021, July 10, 2022 and July 10, 2023.
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 15, 2021, July 15, 2022, July 15, 2023 and July 15, 2024.
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 October 2, 2021, October 2, 2022, October 2, 2023 and October 2, 2024.
/s/ Kevin S. Morris, attorney-in-fact
2020-10-09
EX-24.3_941175
2
poa.txt
POA DOCUMENT
POWER OF ATTORNEY
Know all by these present, that the undersigned hereby constitutes and appoints
Kevin S. Morris, Joseph W. Clementz and Stacey M. Rodriguez, signing singly, the
undersigned's true and lawful attorney-in-fact to:
(1) execute for and on behalf of the undersigned, in the undersigned's capacity
as an officer and/or director of Domino's Pizza, Inc. (the "Company"), Forms 3,
4, and 5 in accordance with Section 16(a) of the Securities Exchange Act of 1934
and the rules thereunder;
(2) do and perform any and all acts for and on behalf of the undersigned which
may be necessary or desirable to complete and execute any such Form 3, 4, or 5,
complete and execute any amendment or amendments thereto, and timely file such
form with the United States Securities and Exchange Commission and any stock
exchange or similar authority; and
(3) take any other action of any type whatsoever in connection with the
foregoing which, in the opinion of such attorney-in-fact, may be of benefit to,
in the best interest of, or legally required by, the undersigned, it being
understood that the documents executed by such attorney-in-fact on behalf of the
undersigned pursuant to this Power of Attorney shall be in such form and shall
contain such terms and conditions as such attorney-in-fact may approve in such
attorney-in-fact's discretion.
The undersigned hereby grants to each such attorney-in-fact full power and
authority to do and perform any and every act and thing whatsoever requisite,
necessary, or proper to be done in the exercise of any of the rights and powers
herein granted, as fully to all intents and purposes as the undersigned might or
could do if personally present, with full power of substitution or revocation,
hereby ratifying and confirming all that such attorney-in-fact, or such
attorney-in-fact's substitute or substitutes, shall lawfully do or cause to be
done by virtue of this power of attorney and the rights and powers herein
granted. The undersigned acknowledges that the foregoing attorneys-in-fact, in
serving in such capacity at the request of the undersigned, are not assuming,
nor is the Company assuming, any of the undersigned's responsibilities to comply
with Section 16 of the Securities Exchange Act of 1934.
This Power of Attorney shall remain in full force and effect until the
undersigned is no longer required to file Forms 3, 4, and 5 with respect to the
undersigned's holdings of and transactions in securities issued by the Company,
unless earlier revoked by the undersigned in a signed writing delivered to the
foregoing attorneys-in-fact.
IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be
executed as of this 28th day of September, 2020.
/s/ Kelly Garcia
Print: Kelly Garcia
WITNESS:
/s/ Judith Puhl
Print: Judith Puhl