Domino's Pizza Inc.

11/05/2024 | Press release | Distributed by Public on 11/05/2024 15:03

Initial Statement of Beneficial Ownership - Form 3

Ownership Submission
FORM 3
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES 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 *
TRUMBULL KATHERINE E
2. Date of Event Requiring Statement (Month/Day/Year)
2024-11-01
3. Issuer Name and Ticker or Trading Symbol
DOMINOS PIZZA INC [DPZ]
(Last) (First) (Middle)
30 FRANK LLOYD WRIGHT DRIVE
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
EVP, Chief Marketing Officer /
5. If Amendment, Date Original Filed (Month/Day/Year)
(Street)
ANN ARBOR MI 48105
6. Individual or Join/Group Filing (Check Applicable Line)
_X_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Beneficially Owned
1.Title of Security 2. Amount of Securities Beneficially Owned 3. Ownership Form: Direct (D) or Indirect (I) 4. Nature of Indirect Beneficial Ownership
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivate Security 2. Date Exercisable and Expiration Date 3. Title and Amount of Securities Underlying Derivative Security 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) 6. Nature of Indirect Beneficial Ownership
Date Exercisable Expriation Date Title Amount or Number of Shares

Reporting Owners

Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
TRUMBULL KATHERINE E
30 FRANK LLOYD WRIGHT DRIVE

ANN ARBOR, MI48105


EVP, Chief Marketing Officer

Signatures

/s/ Kevin S. Morris, attorney-in-fact 2024-11-05
**Signature of Reporting Person Date

Explanation of Responses:

(*) If the form is filed by more than one reporting person, see Instruction 5(b)(v).
(**) Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
(1) Includes 27 shares of common stock representing the final tranche of an original restricted stock unit award with service-based vesting criteria that shall vest on December 14, 2024. Shares are issued and delivered following each vesting tranche of the award.
(2) Includes 158 shares of common stock representing the final tranche of an original restricted stock unit award with service-based vesting criteria that shall vest on March 10, 2025. Shares are issued and delivered following each vesting tranche of the award.
(3) Includes 292 shares of common stock representing the final two tranches of an original restricted stock unit award with service-based vesting criteria that shall vest one-half on each of March 10, 2025 and March 10, 2026. Shares are issued and delivered following each vesting tranche of the award.
(4) Includes 330 shares of common stock representing an original 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 11, 2025, March 11, 2026 and March 11, 2027. Shares are issued and delivered following each vesting tranche of the award.
(5) Includes 2,078 shares of common stock representing an original restricted stock unit award with service-based vesting criteria that shall vest one-fourth on the second anniversary date of the grant date, one-fourth on the third anniversary date of the grant date and the remaining one-half on the fourth anniversary date of the grant date. Thus, one-fourth shall vest on each of June 30, 2025 and June 30, 2026 and one-half shall vest on June 30, 2027. Shares are issued and delivered following each vesting tranche of the award.
(6) The options to purchase common stock vest one-third each year on the anniversary date of the grant date. Thus, one-third vested on each of March 10, 2023 and March 10, 2024 and one-third shall vest on March 10, 2025.
(7) The options to purchase common stock vest one-third each year on the anniversary date of the grant date. Thus, one-third vested on March 10, 2024 and one-third shall vest on each of March 10, 2025 and March 10, 2026.
(8) 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 11, 2025, March 11, 2026 and March 11, 2027.
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, See Instruction 6 for procedure. Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB number.