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* SILVERMAN HARRY (Last) (First) (Middle) C/O DOMINO'S PIZZA, INC. 30 FRANK LLOYD WRIGHT DRIVE (Street) ANN ARBOR MI 48106 (City) (State) (Zip)	2. Date of Event Requiring Statement (Month/Day/Year) 07/13/2004	3. Issuer Name and Ticker or Trading Symbol DOMINOS PIZZA INC [ DPZ ]
		4. Relationship of Reporting Person(s) to Issuer (Check all applicable) X Director 10% Owner X Officer (give title below) Other (specify below) Chief Financial 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)

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)
	Date Exercisable	Expiration Date	Title	Amount or Number of Shares
Option to Purchase Common Stock	06/25/2003	01/24/2010	Common Stock, $.01 par value	334,916	0.75	D
Option to Purchase Common Stock	06/25/2003	01/01/2012	Common Stock, $.01 par value	33,333	5.25	D
Option to Purchase Common Stock	07/01/2008(1)	07/01/2013	Common Stock, $.01 par value	166,666	8.66	D
Option to Purchase Common Stock	07/13/2009(2)	07/13/2014	Common Stock, $.01 par value	133,333	14	D

Explanation of Responses:

1. The Options to Purchase Common Stock vest 20% each year on the anniversary of the Option to Purchase grant date. Thus 20% vested on July 1, 2004 and an additional 20% will vest on each of July 1, 2005, July 1, 2006, July 1, 2007 and July 1, 2008.

2. The Options to Purchase Common Stock vest 20% each year for five years. Thus 20% will vest on each of July 3, 2005, July 13, 2006, July 13, 2007, July 13, 2008 and July 13, 2009.

	/s/ Harry J. Silverman	07/13/2004
	** 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).
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