0001209191-23-018591.txt : 20230314 0001209191-23-018591.hdr.sgml : 20230314 20230314180321 ACCESSION NUMBER: 0001209191-23-018591 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230310 FILED AS OF DATE: 20230314 DATE AS OF CHANGE: 20230314 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HEADEN CYNTHIA A CENTRAL INDEX KEY: 0001821840 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32242 FILM NUMBER: 23732419 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 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 doc4.xml FORM 4 SUBMISSION X0306 4 2023-03-10 0 0001286681 DOMINOS PIZZA INC DPZ 0001821840 HEADEN CYNTHIA A 30 FRANK LLOYD WRIGHT DR ANN ARBOR MI 48105 0 1 0 0 EVP, Supply Chain Services Common Stock, $0.01 par value 2023-03-10 4 A 0 2266 0.00 A 5112.176 D Common Stock, $0.01 par value 2023-03-10 4 F 0 109 300.16 D 5003.176 D Common Stock, $0.01 par value 2023-03-13 4 S 0 136 300.00 D 4867.176 D Common Stock, $0.01 par value 22.368 I Owned by spouse Option to Purchase Common Stock 300.16 2023-03-10 4 A 0 7453 0.00 A 2026-03-10 2033-03-10 Common Stock, $0.01 par value 7453 7453 D Represents a restricted stock unit award with service-based vesting criteria that shall vest one-third each year on the anniversary date of the grant date. Thus, one-third shall vest on each of March 10, 2024, March 10, 2025 and March 10, 2026. Shares are issued and delivered following each vesting tranche of the award. This transaction was effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on November 10, 2022. The options to purchase common stock vest one-third each year on the anniversary date of the grant date. Thus, one-third shall vest on each of March 10, 2024, March 10, 2025 and March 10, 2026. /s/ Kevin S. Morris, attorney-in-fact 2023-03-14