SEC FORM 3

SEC Form 3

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^*

GARCIA KELLY E

(Last)

(First)

(Middle)

30 FRANK LLOYD WRIGHT DR

(Street)

ANN ARBOR

48105

(City)

(State)

(Zip)

2. Date of Event Requiring Statement (Month/Day/Year)
10/02/2020

3. Issuer Name and Ticker or Trading Symbol
DOMINOS PIZZA INC [ DPZ ]

4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

	Director	10% Owner
X	Officer (give title below)	Other (specify below)
EVP. Chief Technology Officer

5. If Amendment, Date of Original Filed (Month/Day/Year)

6. Individual or Joint/Group Filing (Check Applicable Line)

X	Form filed by One Reporting Person
	Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4)	2. Amount of Securities Beneficially Owned (Instr. 4)	3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock, $0.01 par value	3,894.031⁽¹⁾⁽²⁾⁽³⁾⁽⁴⁾⁽⁵⁾⁽⁶⁾⁽⁷⁾⁽⁸⁾	D

Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4)	2. Date Exercisable and Expiration Date (Month/Day/Year)		3. Title and Amount of Securities Underlying Derivative Security (Instr. 4)		4. Conversion or Exercise Price of Derivative Security	5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	6. Nature of Indirect Beneficial Ownership (Instr. 5)
1. Title of Derivative Security (Instr. 4)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares	4. Conversion or Exercise Price of Derivative Security	5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	6. Nature of Indirect Beneficial Ownership (Instr. 5)
Option to Purchase Common Stock	07/15/2019	07/15/2025	Common Stock, $0.01 par value	2,200	118.54	D
Option to Purchase Common Stock	07/20/2020	07/20/2026	Common Stock, $0.01 par value	1,950	136.89	D
Option to Purchase Common Stock	11/07/2020⁽⁹⁾	11/07/2026	Common Stock, $0.01 par value	4,870	168.21	D
Option to Purchase Common Stock	07/19/2021⁽¹⁰⁾	07/19/2027	Common Stock, $0.01 par value	1,540	212.52	D
Option to Purchase Common Stock	07/18/2022⁽¹¹⁾	07/18/2028	Common Stock, $0.01 par value	1,370	283.68	D
Option to Purchase Common Stock	07/10/2023⁽¹²⁾	07/10/2029	Common Stock, $0.01 par value	1,010	275.35	D
Option to Purchase Common Stock	07/10/2023⁽¹²⁾	07/10/2029	Common Stock, $0.01 par value	290	275.35	D
Option to Purchase Common Stock	07/15/2024⁽¹³⁾	07/15/2030	Common Stock, $0.01 par value	180	413.68	D
Option to Purchase Common Stock	07/15/2024⁽¹³⁾	07/15/2030	Common Stock, $0.01 par value	670	413.68	D
Option to Purchase Common Stock	10/02/2024⁽¹⁴⁾	10/02/2030	Common Stock, $0.01 par value	340	433.78	D

Explanation of Responses:

1. 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.

2. Includes 189 shares of common stock representing the final tranche of an original grant of performance-based restricted stock that shall vest on July 19, 2021 if applicable performance conditions are achieved.

3. Includes 296 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 18, 2021 and July 18, 2022 if applicable performance conditions are achieved.

4. Includes 540 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 10, 2021, July 10, 2022 and July 10, 2023 if applicable performance conditions are achieved.

5. Includes 158 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 10, 2021, July 10, 2022 and July 10, 2023 if applicable performance conditions are achieved.

6. Includes 140 shares of common stock representing an original grant of performance-based restricted stock that shall vest one-fourth on each of July 15, 2021, July 15, 2022, July 15, 2023 and July 15, 2024 if applicable performance conditions are achieved.

7. Includes 510 shares of common stock representing an original grant of performance-based restricted stock that shall vest one-fourth on each of July 15, 2021, July 15, 2022, July 15, 2023 and July 15, 2024 if applicable performance conditions are achieved.

8. Includes 90 shares of common stock representing an original grant of performance-based restricted stock that shall vest one-fourth on each of October 2, 2021, October 2, 2022, October 2, 2023 and October 2, 2024 if applicable performance conditions are achieved.

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 each of November 7, 2017, November 7, 2018 and November 7, 2019 and one-fourth shall vest on November 7, 2020.

10. 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, July 19, 2019 and July 19, 2020 and one-fourth shall vest on July 19, 2021.

11. 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 18, 2019 and July 18, 2020 and one-fourth shall vest on each of July 18, 2021 and July 18, 2022.

12. The options to purchase common stock vest one-fourth each year on the anniversary date of the grant date. Thus, one-fourth vested on July 10, 2020 and one-fourth shall vest on each of July 10, 2021, July 10, 2022 and July 10, 2023.

13. 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 15, 2021, July 15, 2022, July 15, 2023 and July 15, 2024.

14. 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 October 2, 2021, October 2, 2022, October 2, 2023 and October 2, 2024.

Remarks:

	/s/ Kevin S. Morris, attorney-in-fact	10/09/2020
	** Signature of Reporting Person	Date
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 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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.