Sec Form 3/A Filing - MORRIS KEVIN SCOTT @ DOMINOS PIZZA INC - 2020-02-19

Insider filing report for Changes in Beneficial Ownership
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FORM 3/A
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
MORRIS KEVIN SCOTT
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, Gen'l Counsel, Secretary
(Last) (First) (Middle)
DOMINO'S PIZZA, 30 FRANK LLOYD WRIGHT DRIVE
3. Date of Earliest Transaction (MM/DD/YY)
02/19/2020
(Street)
ANN ARBOR, MI48105
4. If Amendment, Date Original Filed (MM/DD/YY)
02/28/2020
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 3,389( 1 )( 2 )( 3 )( 4 )( 5 ) D
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
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
MORRIS KEVIN SCOTT
DOMINO'S PIZZA
30 FRANK LLOYD WRIGHT DRIVE
ANN ARBOR, MI48105
EVP, Gen'l Counsel, Secretary
Signatures
/s/ Joseph W. Clementz, attorney-in-fact 02/16/2022
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 January 3, 2021 if applicable performance conditions are achieved.
( 2 )Includes 516 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.
( 3 )Includes 615 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 July 18, 2020, July 18, 2021 and July 18, 2022 if applicable performance conditions are achieved.
( 4 )Includes 890 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.
( 5 )This Form 3/A is being filed to correct the number of securities beneficially owned by the reporting person, which was overstated by 94 shares in his original Form 3 filing due to a clerical error and was carried forward in his subsequent Form 4 filings. This amendment to Form 3 reflects the correct amount of securities beneficially owned by the reporting person as of the time of filing of the original Form 3.

Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4(b)(v).
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