SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 8-K
Current Report Pursuant to Section 13 or 15(d)
of the Securities Exchange Act of 1934
Date of report (Date of earliest event reported): October 22, 2002
Domino's, Inc.
(Exact name of registrant as specified in its charter)
Delaware 333-74797 38-3025165
(State or other jurisdiction of (Commission File No.) (I.R.S. Employer
incorporation or organization) Identification Number)
30 Frank Lloyd Wright Drive
Ann Arbor, Michigan 48106
(Address of principal executive offices)
(734) 930-3030
(Registrant's telephone number, including area code)
Item 7. Financial Statements and Exhibits
(c) Exhibits
Exhibit
Number Description
- ------- -----------
99.1 Statement of Chief Executive Officer, dated October 22, 2002,
pursuant to Securities and Exchange Commission Order 4-460,
dated June 27, 2002.
99.2 Statement of Chief Financial Officer, dated October 22, 2002,
pursuant to Securities and Exchange Commission Order 4-460,
dated June 27, 2002.
Item 9. Regulation FD Disclosure
On October 22, 2002, David A. Brandon, Chief Executive Officer of Domino's, Inc.
("the Company"), and Harry J. Silverman, Chief Financial Officer of the Company,
each submitted to the Securities and Exchange Commission ("the Commission") a
sworn statement as required by the Commission (Order No. 4-460, dated June 27,
2002). Copies of these statements are included as Exhibits 99.1 and 99.2 to this
Current Report on Form 8-K.
SIGNATURE
Pursuant to the requirements of the Securities Exchange Act of 1934, the
registrant has duly caused this report to be signed on its behalf by the
undersigned thereunto duly authorized.
Domino's, Inc.
(Registrant)
Date: October 22, 2002 /s/ Harry J. Silverman
--------------------------
Chief Financial Officer
EXHIBIT 99.1
STATEMENT UNDER OATH OF PRINCIPAL EXECUTIVE OFFICER REGARDING FACTS AND
CIRCUMSTANCES RELATING TO EXCHANGE ACT FILINGS
I, David A. Brandon, state and attest that:
(1) To the best of my knowledge, based upon a review of the covered reports of
Domino's, Inc., and, except as corrected or supplemented in a subsequent
covered report:
. no covered report contained an untrue statement of a material fact as
of the end of the period covered by such report (or in the case of a
report on Form 8-K or definitive proxy materials, as of the date on
which it was filed); and
. no covered report omitted to state a material fact necessary to make
the statements in the covered report, in light of the circumstances
under which they were made, not misleading as of the end of the period
covered by such report (or in the case of a report on Form 8-K or
definitive proxy materials, as of the date on which it was filed).
(2) I have reviewed the contents of this statement with the Company's audit
committee.
(3) In this statement under oath, each of the following, if filed on or before
the date of this statement, is a "covered report":
. the Annual Report on Form 10-K for the fiscal year ended December 30,
2001 of Domino's, Inc.
. all reports on Form 10-Q, all reports on Form 8-K and all definitive
proxy materials of Domino's, Inc. filed with the Commission subsequent
to the filing of the Form 10-K identified above; and
. any amendments to any of the foregoing.
/s/ David A. Brandon
- -------------------------------
David A. Brandon
Chief Executive Officer
October 22, 2002
Subscribed and sworn to
before me this 22/nd/ day of
October, 2002
/s/ Kim K. Koepp
----------------------------
Notary Public
My Commission Expires:
March 28, 2005
----------------------------
EXHIBIT 99.2
STATEMENT UNDER OATH OF PRINCIPAL FINANCIAL OFFICER REGARDING FACTS AND
CIRCUMSTANCES RELATING TO EXCHANGE ACT FILINGS
I, Harry J. Silverman, state and attest that:
(1) To the best of my knowledge, based upon a review of the covered reports of
Domino's, Inc., and, except as corrected or supplemented in a subsequent
covered report:
. no covered report contained an untrue statement of a material fact as
of the end of the period covered by such report (or in the case of a
report on Form 8-K or definitive proxy materials, as of the date on
which it was filed); and
. no covered report omitted to state a material fact necessary to make
the statements in the covered report, in light of the circumstances
under which they were made, not misleading as of the end of the period
covered by such report (or in the case of a report on Form 8-K or
definitive proxy materials, as of the date on which it was filed).
(2) I have reviewed the contents of this statement with the Company's audit
committee.
(3) In this statement under oath, each of the following, if filed on or before
the date of this statement, is a "covered report":
. the Annual Report on Form 10-K for the fiscal year ended December 30,
2001 of Domino's, Inc.
. all reports on Form 10-Q, all reports on Form 8-K and all definitive
proxy materials of Domino's, Inc. filed with the Commission subsequent
to the filing of the Form 10-K identified above; and
. any amendments to any of the foregoing.
/s/ Harry J. Silverman
- -------------------------------
Harry J. Silverman
Chief Financial Officer
October 22, 2002
Subscribed and sworn to
before me this 22/nd/ day of
October, 2002
/s/ Kim K. Koepp
----------------------------
Notary Public
My Commission Expires:
March 28, 2005
----------------------------