FORM 4
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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).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
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OMB APPROVAL
OMB Number: 3235-0287 Estimated average burden hours per response... 0.5 |
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1. Name and Address of Reporting Person
*
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2. Issuer Name
and
Ticker or Trading Symbol
DOLLAR GENERAL CORP [ DG ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director __ X __ 10% Owner _____ Officer (give title below) _____ Other (specify below) |
C/O KOHLBERG KRAVIS ROBERTS & CO. L.P., 9 WEST 57TH STREET, SUITE 4200 |
3. Date of Earliest Transaction
(MM/DD/YYYY)
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NEW YORK, NY 10019 |
4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
___ Form filed by One Reporting Person _ X _ Form filed by More than One Reporting Person |
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned |
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1.Title of Security
(Instr. 3) |
2. Trans. Date | 2A. Deemed Execution Date, if any |
3. Trans. Code
(Instr. 8) |
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5) |
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4) |
6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
Code | V | Amount | (A) or (D) | Price | ||||||
Common Stock, par value $0.875 per share | 11/18/2009 | S | 6071960 | D | $19.7925 (1) | 110193699 | I | Held through Buck Holdings, L.P. and KKR 2006 Fund L.P. (2) (3) (7) (9) (10) | ||
Common Stock, par value $0.875 per share | 11/18/2009 | S | 1281367 | D | $19.7925 (1) | 23254186 | I | Held through Buck Holdings, L.P. and KKR PEI Investments, L.P. (2) (4) (7) (9) (10) | ||
Common Stock, par value $0.875 per share | 11/18/2009 | S | 210772 | D | $19.7925 (1) | 3825090 | I | Held through Buck Holdings, L.P. and 8 North America Investor L.P. (2) (5) (7) (9) (10) | ||
Common Stock, par value $0.875 per share | 11/18/2009 | S | 901551 | D | $19.7925 (1) | 16361318 | I | Held through Buck Holdings, L.P. and Buck Holdings Co-Invest, LP (2) (6) (7) (9) (10) | ||
Common Stock, par value $0.875 per share | 11/18/2009 | S | 141008 | D | $19.7925 (1) | 2558991 | I | Held through Buck Holdings, L.P. and KKR Partners III, L.P. (2) (8) (9) (10) |
Remarks:
(11) Mr. Janetschek is signing in his capacity as director of KKR Fund Holdings GP Limited. (12) Mr. Janetschek is signing in his capacity as director of KKR Group Limited, the general partner of KKR Group Holdings L.P. (13) Mr. Janetschek is signing in his capacity as director of KKR Group Limited. (14) Mr. Janetschek is signing in his capacity as attorney-in-fact for Henry R. Kravis, a designated member of KKR Management LLC, the general partner of KKR & Co. L.P. (15) Mr. Janetschek is signing in his capacity as attorney-in-fact for George R. Roberts, a designated member of KKR Management LLC, the general partner of KKR & Co. L.P. (16) Mr. Janetschek is signing in his capacity as attorney-in-fact for Henry R. Kravis. (17) Mr. Janetschek is signing in his capacity as attorney-in-fact for George R. Roberts. |
Signatures
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/s/ William J. Janetschek, KKR Fund Holdings GP Limited (11) | 11/20/2009 | |
** Signature of Reporting Person |
Date
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/s/ William J. Janetschek, KKR Group Holdings L.P. (12) | 11/20/2009 | |
** Signature of Reporting Person |
Date
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/s/ William J. Janetschek, KKR Group Limited (13) | 11/20/2009 | |
** Signature of Reporting Person |
Date
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/s/ William J. Janetschek, KKR & Co. L.P. (14) | 11/20/2009 | |
** Signature of Reporting Person |
Date
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/s/ William J. Janetschek, KKR & Co. L.P. (15) | 11/20/2009 | |
** Signature of Reporting Person |
Date
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/s/ William J. Janetschek, KKR Management LLC (16) | 11/20/2009 | |
** Signature of Reporting Person |
Date
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/s/ William J. Janetschek, KKR Management LLC (17) | 11/20/2009 | |
** Signature of Reporting Person |
Date
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/s/ William J. Janetschek, as Attorney-in-Fact for Henry R. Kravis | 11/20/2009 | |
** Signature of Reporting Person |
Date
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/s/ William J. Janetschek, as Attorney-in-Fact for George R. Roberts | 11/20/2009 | |
** Signature of Reporting Person |
Date
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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). |
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