0001209191-21-059388.txt : 20211005 0001209191-21-059388.hdr.sgml : 20211005 20211005162229 ACCESSION NUMBER: 0001209191-21-059388 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211002 FILED AS OF DATE: 20211005 DATE AS OF CHANGE: 20211005 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GARCIA KELLY E CENTRAL INDEX KEY: 0001826853 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32242 FILM NUMBER: 211306923 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 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-10-02 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 2021-10-02 4 F 0 7 470.91 D 4231.163 D /s/ Kevin S. Morris, attorney-in-fact 2021-10-05