0001209191-23-042083.txt : 20230712 0001209191-23-042083.hdr.sgml : 20230712 20230712163458 ACCESSION NUMBER: 0001209191-23-042083 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230710 FILED AS OF DATE: 20230712 DATE AS OF CHANGE: 20230712 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: 231085048 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 X0407 4 2023-07-10 0 0001286681 DOMINOS PIZZA INC DPZ 0001622458 WEINER RUSSELL J DOMINO'S PIZZA 30 FRANK LLOYD WRIGHT DRIVE ANN ARBOR MI 48105 1 1 0 0 Chief Executive Officer 0 Common Stock, $0.01 par value 2023-07-10 4 F 0 317 347.41 D 29981.966 D Common Stock, $0.01 par value 297 I RUSSELL WEINER TRUST AGREEMENT U/A DTD 09/03/2003 Common Stock, $0.01 par value 3036 I RUSSELL J WEINER 2023 GRANTOR TRUST The shares are held by the Russell J. Weiner 2023 Grantor Trust. The number of shares held reflects the transfer of such shares for no consideration from the Russell Weiner Trust Agreement U/A DTD 09/03/2003. /s/ Kevin S. Morris, attorney-in-fact 2023-07-12