Form 5 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or
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OMB APPROVAL |
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OMB Number: 3235-0362 |
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Expires: January 31, 2005 |
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Check box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). Form 3 Holdings Reported Form 4 Transactions Reported |
Estimated average burden
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1. Name and Address of Reporting Person*
Lanigan Susan S. |
2. Issuer Name
and
Ticker or Trading Symbol
Dollar General Corporation (DG) |
6. Relationship of Reporting Person(s) to Issuer
title below) below)
Vice President, General Counsel and Corporate Secretary |
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(Last) (First) (Middle)
100 Mission Ridge |
3. I.R.S. Identification Number of Reporting Person, if an entity (voluntary) |
4. Statement for Month/Year
January 31, 2003 |
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(Street)
Goodlettsville TN 37072 |
5. If Amendment, Date of Original (Month/Year) |
7. Individual or Joint/Group Filing
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(City) (State) (Zip) |
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned |
1. Title of Security
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2. Trans-
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2A.
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3. Transaction
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4. Securities Acquired (A) or Disposed of (D)
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5. Amount of Securities Beneficially Owned at the end of Issuer's Fiscal Year (Instr. 3 and 4) |
6. Owner-
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7. Nature of Indirect Beneficial Ownership
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Amount |
(A)
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Price |
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FORM 5 (continued) |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Derivative Security
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2. Conversion or
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3. Transaction
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3A. Deemed
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4. Transaction Code
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5. Number of Derivative
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6. Date Exercisable
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7. Title and Amount of Underlying Securities
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8. Price of
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9. Number of Derivative Securities Beneficially Owned at End of Year (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code |
V |
(A) |
(D) |
Date
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Expiration
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Title |
Amount or
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Employee Stock Option (Right to Buy) |
$16.14 |
08/12/02 |
A |
25,200 |
(1) |
08/12/12 |
Common Stock |
25,200 |
D |
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Employee Stock Option (Right to Buy) |
$16.14 |
08/12/02 |
A |
25,200 |
(1) |
08/12/12 |
Common Stock |
25,200 |
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50,400 |
D |
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Explanation of Responses:
The option vests in four equal annual installments beginning on August 12, 2003. |
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
/s/ Susan S. Lanigan
**Signature of Reporting Person |
3/7/03
Date |
Note: |
File three copies of this Form, one of which must be manually signed. If space provided is insufficient, see Instruction 6 for procedure. |
Potential persons who are to respond to the collection of information contained in this form are not
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