Statement of Changes in Beneficial Ownership (4)
February 26 2020 - 3:49PM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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3235-0287
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
ALLISON RICHARD E JR |
2. Issuer Name and Ticker or Trading Symbol
DOMINOS PIZZA INC
[
DPZ
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__X__ Director _____ 10% Owner __X__ Officer (give title below) _____ Other (specify below) Chief Executive Officer |
(Last)
(First)
(Middle)
DOMINO'S PIZZA, 30 FRANK LLOYD WRIGHT DRIVE |
3. Date of Earliest Transaction
(MM/DD/YYYY)
2/24/2020 |
(Street)
ANN ARBOR, MI 48105
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security (Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code (Instr. 8)
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4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Common Stock, $0.01 par value | 2/24/2020 | | M | | 30000 | A | $17.53 | 72062.963 (1) | D | |
Common Stock, $0.01 par value | 2/24/2020 | | S | | 2600 | D | $355.36 (2) | 69462.963 | D | |
Common Stock, $0.01 par value | 2/24/2020 | | S | | 1223 | D | $357.825 (3) | 68239.963 | D | |
Common Stock, $0.01 par value | 2/24/2020 | | S | | 2600 | D | $358.92 (4) | 65639.963 | D | |
Common Stock, $0.01 par value | 2/24/2020 | | S | | 5658 | D | $360.464 (5) | 59981.963 | D | |
Common Stock, $0.01 par value | 2/24/2020 | | S | | 4894 | D | $361.505 (6) | 55087.963 | D | |
Common Stock, $0.01 par value | 2/24/2020 | | S | | 4595 | D | $362.552 (7) | 50492.963 | D | |
Common Stock, $0.01 par value | 2/24/2020 | | S | | 5230 | D | $363.392 (8) | 45262.963 | D | |
Common Stock, $0.01 par value | 2/24/2020 | | S | | 1400 | D | $364.114 (9) | 43862.963 | D | |
Common Stock, $0.01 par value | 2/24/2020 | | S | | 1800 | D | $365.379 (10) | 42062.963 | D | |
Common Stock, $0.01 par value | | | | | | | | 250 | I | Son |
Common Stock, $0.01 par value | | | | | | | | 250 | I | Daughter |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) |
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Option to Purchase Common Stock | $17.53 | 2/24/2020 | | M | | | 30000 | 3/14/2014 | 3/14/2021 | Common Stock, $0.01 par value | 30000 | $0.00 | 0 | D | |
Explanation of Responses: |
(1) | Includes 43.12 shares acquired under the Domino's Employee Stock Payroll Deduction Plan since the date of the last report. |
(2) | This transaction was executed in multiple trades at prices ranging from $354.98 to $355.74. The price reported above reflects the weighted average sale price. |
(3) | This transaction was executed in multiple trades at prices ranging from $357.64 to $358.58. The price reported above reflects the weighted average sale price. |
(4) | This transaction was executed in multiple trades at prices ranging from $358.70 to $359.53. The price reported above reflects the weighted average sale price. |
(5) | This transaction was executed in multiple trades at prices ranging from $359.92 to $360.89. The price reported above reflects the weighted average sale price. |
(6) | This transaction was executed in multiple trades at prices ranging from $361.00 to $361.99. The price reported above reflects the weighted average sale price. |
(7) | This transaction was executed in multiple trades at prices ranging from $362.01 to $363.00. The price reported above reflects the weighted average sale price. |
(8) | This transaction was executed in multiple trades at prices ranging from $363.01 to $364.00. The price reported above reflects the weighted average sale price. |
(9) | This transaction was executed in multiple trades at prices ranging from $364.01 to $364.58. The price reported above reflects the weighted average sale price. |
(10) | This transaction was executed in multiple trades at prices ranging from $365.11 to $365.99. The price reported above reflects the weighted average sale price. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
ALLISON RICHARD E JR DOMINO'S PIZZA 30 FRANK LLOYD WRIGHT DRIVE ANN ARBOR, MI 48105 | X |
| Chief Executive Officer |
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Signatures
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/s/ Kevin S. Morris, attorney-in-fact | | 2/26/2020 |
**Signature of Reporting Person | Date |
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