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Filing Details

Accession Number:: 0001181431-10-016024
Form Type:: 4
Zero Holdings:: No
Publication Time:: 2010-03-12 12:00:00
Reporting Period:: 2010-03-10

Filing Date:: 2010-03-12
Accepted Time:: 2010-03-12 16:23:05
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

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	2010-03-10	2,262,732	$14.19	10,504,993	No	4	J	Indirect	See footnotes
Common Stock, Par Value $0.01	Disposition	2010-03-11	15,528	$13.84	10,489,465	No	4	S	Indirect	See footnotes
Common Stock, Par Value $0.01	Acquisiton	2010-03-10	1,336	$0.00	9,271	No	4	J	Direct
Common Stock, Par Value $0.01	Disposition	2010-03-10	2,400	$0.00	6,871	No	4	G	Direct

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

Footnotes

Mr. Balson is a Managing Director of Bain Capital Investors, LLC ("BCI"). Because 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 his pecuniary interest therein. On March 10, 2010, Fund VI distributed 994,412 shares of Common Stock to one or more members or partners. Following such distribution, Fund VI held 4,570,334 shares of Common Stock.
Because BCI is the sole general partner of BCP VI, which is the sole general partner of Bain Capital VI Coinvestment Fund, L.P. ("Coinvestment Fund VI"), 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 his pecuniary interest therein. On March 10, 2010, Coinvestment Fund VI distributed 1,131,905 shares of Common Stock to one or more members or partners. Following such distribution, Coinvestment Fund VI held 5,202,253 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. On March 10, 2010, BCIP II, BCIP II-B and BCIP II-C distributed 113,311, 17,895 and 32,492 shares of Common Stock, respectively, to one or more members or partners. Following such distribution, BCIP II, BCIP II-B and BCIP II-C held 528,406, 83,451 and 151,524 shares of Common Stock, respectively.
Because BCI is also the managing partner of BCIP Trust Associates II ("BCIPT II"), 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 his pecuniary interest therein. On March 10, 2010, BCIPT II sold 10,938 shares of Common Stock. Following such sale, BCIPT II held 50,273 shares of Common Stock.
Because BCI is also the managing partner of BCIP Trust Associates II-B ("BCIPT II-B"), 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 his pecuniary interest therein. On March 10, 2010, BCIPT II-B sold 4,590 shares of Common Stock. Following such sale, BCIPT II held 21,093 shares of Common Stock.
The distribution to partners referred to in the foregoing footnotes includes subsequent distributions by general partners to their respective partners, including Mr. Balson.
Mr. Balson made a charitable gift of 2,400 shares of Common Stock he received in the distribution.