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Filing Details

Accession Number:: 0001181431-10-053401
Form Type:: 4
Zero Holdings:: No
Publication Time:: 2010-11-04 10:55:54
Reporting Period:: 2010-11-02

Filing Date:: 2010-11-04
Accepted Time:: 2010-11-04 10:55:54
SEC Url:: Form 4 Filing

Issuer

Cik	Name	Symbol	Sector (SIC)	IRS No
1286681	Dominos Pizza Inc	DPZ	Wholesale-Groceries & Related Products (5140)	382511577

Insiders

Cik	Name	Reported Address	Insider Title	Director	Officer	Large Shareholder	Other
1212449	Andrew Balson	C/O Bain Capital Investors, Llc 111 Huntington Avenue Boston MA 02199		Yes	No	Yes	No
1260860	Bain Capital Partners Vi Lp	Legal Affairs Manager Bain Capital, Llc 111 Huntington Avenue Boston MA 02199		No	No	Yes	No

Reported Non-Derivative Transactions

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Sec. Name	Acquisiton - Disposition	Date	Amount	Price	Remaning Holdings	Equity Swap Involved	Form Type	Code	Nature of Ownership	Explanation
Common Stock, Par Value $0.01	Disposition	2010-11-02	18,633	$15.00	2,732,774	No	4	S	Indirect	See footnotes
Common Stock, Par Value $0.01	Disposition	2010-11-02	3,977	$15.09	2,728,797	No	4	S	Indirect	See footnotes

Equity Swap Involved	Form Type	Code	Nature of Ownership	Explanation
No	4	S	Indirect	See footnotes
No	4	S	Indirect	See footnotes

Reported Non-Derivative Holdings

Sec. Name	Remaning Holdings	Nature of Ownership	Explanation
Common Stock, Par Value $0.01	14,605	Direct

Footnotes

Mr. Balson is the Managing Director of Bain Capital Investors, LLC ("BCI"), is the sole general partner of Bain Capital Partners VI, L.P. ("BCP VI"), which is the sole general partner of Bain Capital Fund VI, L.P. ("Fund VI"). As a result, Mr. Balson may be deemed to share voting and dispositive power with respect to the shares of Common Stock held by Fund VI. Mr. Balson disclaims beneficial ownership of such securities except to the extent of its pecuniary interest therein. As of November 2, 2010, Fund VI held 1,189,332 shares of Common Stock.
BCP VI is the sole general partner of Bain Capital VI Coinvestment Fund, L.P. ("Coinvestment Fund VI"). As a result, Mr. Balson may be deemed to share voting and dispositive power with respect to the shares of Common Stock held by Coinvestment Fund VI. Mr. Balson disclaims beneficial ownership of such securities except to the extent of its pecuniary interest therein. As of November 2, 2010 Coinvestment Fund VI held 1,353,776 shares of Common Stock.
Because BCI is the managing partner of each of BCIP Associates II ("BCIP II"), BCIP Associates II-B ("BCIP II-B"), and BCIP Associates II-C ("BCIP II-C"), Mr. Balson may be deemed to share voting and dispositive power with respect to the shares of Common Stock held by BCIP II, BCIP II-B and BCIP II-C. Mr. Balson disclaims beneficial ownership of such securities except to the extent of his pecuniary interest therein. As of November 2, 2010, BCIP II, BCIP II-B and BCIP II-C held 112,934, 17,835 and 32,384 shares of Common Stock.
BCI is the managing partner of BCIP Trust Associates II ("BCIPT II"). As a result, Mr. Balson may be deemed to share voting dispositive power with respect to the shares of Common Stock held by BCIPT II. Mr. Balson disclaims beneficial ownership of such securities except to the extent of its pecuniary interest therein. On November 2, 2010, BCIPT II sold 13,126 shares of Common Stock. Following such sale, BCIPT II held 13,083 shares of Common Stock.
BCI is also the managing partner of BCIP Trust Associates II-B ("BCIPT II-B"). As a result, Mr. Balson may be deemed to share voting dispositive power with respect to the shares of Common Stock held by BCIPT II-B. Mr. Balson disclaims beneficial ownership of such securities except to the extent of its pecuniary interest therein. On November 2, 2010, BCIPT II-B sold 5,507 shares of Common Stock. Following such sale, BCIPT II held 5,489 shares of Common Stock.
BCI is the attorney-in-fact for PEP Investments PTY Ltd. ("PEP") and as a result, Mr. Balson may be deemed to share voting and dispositive power with respect to the shares of Common Stock held by PEP. Mr. Balson disclaims beneficial ownership of such securities except to the extent of its pecuniary interest therein. On November 2, 2010, PEP sold 3,977 shares of Common Stock. Following such sale, PEP held 3,964 shares of Common Stock.