Filing Details

Accession Number:
0001181431-10-060722
Form Type:
4
Zero Holdings:
No
Publication Time:
2010-12-10 14:07:41
Reporting Period:
2010-12-08
Filing Date:
2010-12-10
Accepted Time:
2010-12-10 14:07:41
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
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 2010-12-08 148,000 $15.59 0 No 4 S Indirect See Footnote
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 S Indirect See Footnote
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Common Stock, Par Value $0.01 17,243 Direct
Footnotes
  1. Mr. Andrew 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"), 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 December 8, 2010 Fund VI sold 148,000 shares of Common Stock. Following such sale Fund VI held zero shares of Common Stock.