Form Type: 4

SEC EDGAR Link
Accession Number:0001209191-21-061493
Date:2021-10-21
Issuer: DOMINOS PIZZA INC (DPZ)
Original Submission Date:

Reporting Person:

JORDAN JOSEPH HUGH
DOMINO'S PIZZA
30 FRANK LLOYD WRIGHT DRIVE ANN ARBOR, MI 48105

Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
Title of SecurityTransaction Date2a. Deemed Execution Date Transaction CodeSharesAcquired or DisposedPrice per share 5. Amount of Securities Beneficially Owned Following Reported Transaction 6. Ownership Form Direct or IndirectNature of Indirect Ownership
COMMON STOCK, $0.01 PAR VALUE 2021-10-21 M 2,010 a $73.04 4,861 direct
COMMON STOCK, $0.01 PAR VALUE 2021-10-21 S 2,010 d $467.16 2,851 direct
COMMON STOCK, $0.01 PAR VALUE 2021-10-21 0 $0.00 245 indirect
Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, convertible securities
Title of Derivative Security Conversion or Exercise Price of Derivative Security Transaction Date Deemed Execution Date Transaction Code Number of Derivative Securities Acquired (A) or Disposed of (D) Date ExercisableExpiration Date Title and Amount of Securities Underlying Derivative Security Price of Derivative Security Number of derivative Securities Beneficially Owned Following Reported Transaction(s) Ownership Form: Direct (D) or Indirect (I) Nature of Indirect Beneficial Ownership
OPTION TO PURCHASE COMMON STOCK 73.04 2021-10-21 deemed execution date M 2,010 (d) 2018-07-16 2024-07-16 common stock, $0.01 par value 2,010 $73.04 0 direct
Footnotes
IDfootnote
f1 this transaction was executed in multiple trades at prices ranging from $467.00 to $467.31. the price reported above reflects the weighted average sale price.
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