SEC FORM
4
SEC Form 4
FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
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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OMB APPROVAL |
OMB Number: |
3235-0287 |
Estimated average burden |
hours per response: |
0.5 |
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b). |
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
DOMINOS PIZZA INC
[ DPZ ]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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Director |
X |
10% Owner |
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Officer (give title below) |
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Other (specify below) |
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3. Date of Earliest Transaction
(Month/Day/Year) 01/18/2008
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4. If Amendment, Date of Original Filed
(Month/Day/Year)
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6. Individual or Joint/Group Filing (Check Applicable Line)
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Form filed by One Reporting Person |
X |
Form filed by More than One Reporting Person |
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned |
1. Title of Security (Instr.
3)
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2. Transaction Date
(Month/Day/Year) |
2A. Deemed Execution Date, if any
(Month/Day/Year) |
3. Transaction Code (Instr.
8)
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4. Securities Acquired (A) or Disposed Of (D) (Instr.
3, 4 and 5)
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5.
Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr.
3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr.
4)
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7. Nature of Indirect Beneficial Ownership (Instr.
4)
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Code |
V |
Amount |
(A) or (D) |
Price |
Common Stock |
01/18/2008 |
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P |
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14,862 |
A |
$12.15
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6,385,790 |
I
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See Explanation
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Common Stock |
01/18/2008 |
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P |
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100 |
A |
$12.153
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6,385,890 |
I
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See Explanation
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Common Stock |
01/18/2008 |
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P |
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12,300 |
A |
$12.16
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6,398,190 |
I
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See Explanation
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Common Stock |
01/18/2008 |
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P |
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4,700 |
A |
$12.17
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6,402,890 |
I
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See Explanation
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Common Stock |
01/18/2008 |
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P |
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100 |
A |
$12.173
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6,402,990 |
I
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See Explanation
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Common Stock |
01/18/2008 |
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P |
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100 |
A |
$12.175
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6,403,090 |
I
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See Explanation
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Common Stock |
01/18/2008 |
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P |
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37,400 |
A |
$12.18
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6,440,490 |
I
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See Explanation
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Common Stock |
01/18/2008 |
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P |
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8,700 |
A |
$12.19
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6,449,190 |
I
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See Explanation
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Common Stock |
01/18/2008 |
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P |
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1,600 |
A |
$12.195
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6,450,790 |
I
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See Explanation
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Common Stock |
01/18/2008 |
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P |
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21,700 |
A |
$12.2
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6,472,490 |
I
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See Explanation
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Common Stock |
01/18/2008 |
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P |
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221,500 |
A |
$12.22
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6,693,990 |
I
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See Explanation
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Common Stock |
01/18/2008 |
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P |
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24,600 |
A |
$12.25
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6,718,590 |
I
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See Explanation
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Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivative Security (Instr.
3)
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2. Conversion or Exercise Price of Derivative Security
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3. Transaction Date
(Month/Day/Year) |
3A. Deemed Execution Date, if any
(Month/Day/Year) |
4. Transaction Code (Instr.
8)
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5.
Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr.
3, 4 and 5)
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6. Date Exercisable and Expiration Date
(Month/Day/Year) |
7. Title and Amount of Securities Underlying Derivative Security (Instr.
3 and 4)
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8. Price of Derivative Security (Instr.
5)
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9.
Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr.
4)
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10. Ownership Form: Direct (D) or Indirect (I) (Instr.
4)
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11. Nature of Indirect Beneficial Ownership (Instr.
4)
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Code |
V |
(A) |
(D) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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Explanation of Responses: |
Remarks: |
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/s/ Clifton S. Robbins Managing Member Blue Harbour Holdings LLC |
01/23/2008 |
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** 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
4
(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. |
Exhibit 99.1
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Joint Filer Information
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Date of Event Requiring Statement: January 18, 2008
Issuer Name and Ticker or Trading Symbol: Domino's Pizza, Inc. (DPZ)
Designated Filer: Blue Harbour Group, LP
Other Joint Filers: Blue Harbour Strategic Value
Partners Master Fund, LP; Blue
Harbour Institutional Partners
Master Fund, L.P.; Blue Harbour GP,
LLC; Blue Harbour Holdings, LLC; and
Clifton S. Robbins
Address of Joint Filers: The principal business address of
each of the Joint Filers listed
above is 646 Steamboat Road,
Greenwich, CT 06830.
Relationship of Joint Filer to Issuer: 10% Owner (1)
Signatures:
BLUE HARBOUR STRATEGIC VALUE
PARTNERS MASTER FUND, LP
By: Blue Harbour GP, LLC, its
general partner
By: /s/ Clifton S. Robbins
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Name: Clifton S. Robbins
Title: Managing Member
BLUE HARBOUR INSTITUTIONAL PARTNERS
MASTER FUND, L.P.
By: Blue Harbour GP, LLC, its
general partner
By: /s/ Clifton S. Robbins
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Name: Clifton S. Robbins
Title: Managing Member
BLUE HARBOUR GP, LLC
By: /s/ Clifton S. Robbins
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Name: Clifton S. Robbins
Title: Managing Member
BLUE HARBOUR HOLDINGS, LLC
By: /s/ Clifton S. Robbins
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Name: Clifton S. Robbins
Title: Managing Member
/s/ Clifton S. Robbins
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Clifton S. Robbins
(1) Directly owned by Blue Harbour Strategic Value Partners Master Fund, LP and
Blue Harbour Institutional Partners Master Fund, L.P. Indirectly owned by Blue
Harbour Group, LP, Blue Harbour GP, LLC, Blue Harbour Holdings, LLC and Clifton
S. Robbins.
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