Sec Form 3 Filing - JORDAN JOSEPH HUGH @ DOMINOS PIZZA INC - 2020-02-19

Insider filing report for Changes in Beneficial Ownership
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FORM 3
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
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
JORDAN JOSEPH HUGH
2. Issuer Name and Ticker or Trading Symbol
DOMINOS PIZZA INC [ DPZ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
EVP, International
(Last) (First) (Middle)
DOMINO'S PIZZA, 30
3. Date of Earliest Transaction (MM/DD/YY)
02/19/2020
(Street)
ANN ARBOR, MI48105
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/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 Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)
7. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V Amount (A) or (D) Price
Common Stock, $0.01 par value 7,014.268 ( 1 ) ( 2 ) ( 3 ) ( 4 ) ( 5 ) D
Common Stock, $0.01 par value 245.771 I 401(k) Savings Plan
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 4. Transaction 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
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(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 $ 63.05 07/17/2017 07/17/2023 Common Stock, $0.01 par value 1,470 D
Option to Purchase Common Stock $ 73.04 07/16/2018 07/16/2024 Common Stock, $0.01 par value 2,010 D
Option to Purchase Common Stock $ 118.54 07/15/2019 07/15/2025 Common Stock, $0.01 par value 2,630 D
Option to Purchase Common Stock $ 136.89 07/20/2020( 6 ) 07/20/2026 Common Stock, $0.01 par value 3,100 D
Option to Purchase Common Stock $ 136.89 07/20/2020( 6 ) 07/20/2026 Common Stock, $0.01 par value 2,350 D
Option to Purchase Common Stock $ 168.21 11/07/2020( 7 ) 11/07/2026 Common Stock, $0.01 par value 4,870 D
Option to Purchase Common Stock $ 212.52 07/19/2021( 8 ) 07/19/2027 Common Stock, $0.01 par value 2,450 D
Option to Purchase Common Stock $ 232.43 04/09/2022( 9 ) 04/09/2018 Common Stock, $0.01 par value 3,620 D
Option to Purchase Common Stock $ 275.35 07/10/2023( 10 ) 07/10/2029 Common Stock, $0.01 par value 3,520 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
JORDAN JOSEPH HUGH
DOMINO'S PIZZA
30
ANN ARBOR, MI48105
EVP, International
Signatures
/s/ Kevin S. Morris, attorney-in-fact 02/28/2020
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Includes 279 shares of common stock representing the final tranche of an original grant of performance-based restricted stock that shall vest on July 20, 2020 if applicable performance conditions are achieved.
( 2 )Includes 299 shares of common stock representing the final tranche of an original grant of performance-based restricted stock that shall vest on November 7, 2020 if applicable performance conditions are achieved.
( 3 )Includes 416 shares of common stock representing the final two tranches of an original grant of performance-based restricted stock that shall vest one-half on each of July 19, 2020 and July 19, 2021 if applicable performance conditions are achieved.
( 4 )Includes 690 shares of common stock representing the final three tranches of an original grant of performance-based restricted stock that shall vest one-third on each of April 9, 2020, April 9, 2021 and April 9, 2022 if applicable performance conditions are achieved.
( 5 )Includes 840 shares of common stock representing a grant of performance-based restricted stock that shall vest one-fourth on each of July 10, 2020, July 10, 2021, July 10, 2022 and July 10, 2023 if applicable performance conditions are achieved.
( 6 )The options to purchase common stock vest one-fourth each year on the anniversary date of the grant date. Thus, one-fourth vested on each of July 20, 2017, July 20, 2018 and July 20, 2019 and one-fourth shall vest on July 20, 2020.
( 7 )The options to purchase common stock vest one-fourth each year on the anniversary date of the grant date. Thus, one-fourth vested on each of November 7, 2017, November 7, 2018 and November 7, 2019 and one-fourth shall vest on November 7, 2020.
( 8 )The options to purchase common stock vest one-fourth each year on the anniversary date of the grant date. Thus, one-fourth vested on each of July 19, 2018 and July 19, 2019 and one-fourth shall vest on each of July 19, 2020 and July 19, 2021.
( 9 )The options to purchase common stock vest one-fourth each year on the anniversary date of the grant date. Thus, one-fourth vested on April 9, 2019 and one-fourth shall vest on each of April 9, 2020, April 9, 2021 and April 9 2022.
( 10 )The options to purchase common stock vest one-fourth each year on the anniversary date of the grant date. Thus, one-fourth shall vest on each of July 10, 2020, July 10, 2021, July 10, 2022 and July 10, 2023.

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