FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b).
|
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
|
OMB APPROVAL
OMB Number: 3235-0287 Estimated average burden hours per response... 0.5 |
|
|
|
1. Name and Address of Reporting Person
*
|
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) |
200 WEST STREET, |
3. Date of Earliest Transaction
(MM/DD/YYYY)
|
|
NEW YORK, NY 10282 |
4. If Amendment, Date Original Filed
(MM/DD/YYYY)
|
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 |
||||||||||
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 | 12/14/2010 | S | 6081807 (3) (4) | D | $29.463 | 52476465 | I | See Footnotes (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) |
Table II - Derivative Securities Beneficially Owned ( e.g. , puts, calls, warrants, options, convertible securities) |
|||||||||||||||
1. Title of Derivate Security
(Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any |
4. Trans. Code
(Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5) |
6. Date Exercisable and Expiration Date |
7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4) |
8. Price of Derivative Security
(Instr. 5) |
9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Director Stock Option (right to buy) | $22.55 | (6) | 11/18/2019 | Common Stock | 5549 | 5549 | I | See footnotes (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) |
Signatures
|
||
/s/ Rachel Parrish, Attorney-in-fact | 12/16/2010 | |
** Signature of Reporting Person |
Date
|
|
/s/ Rachel Parrish, Attorney-in-fact | 12/16/2010 | |
** Signature of Reporting Person |
Date
|
|
/s/ Rachel Parrish, Attorney-in-fact | 12/16/2010 | |
** Signature of Reporting Person |
Date
|
|
/s/ Rachel Parrish, Attorney-in-fact | 12/16/2010 | |
** Signature of Reporting Person |
Date
|
|
/s/ Rachel Parrish, Attorney-in-fact | 12/16/2010 | |
** Signature of Reporting Person |
Date
|
|
/s/ Rachel Parrish, Attorney-in-fact | 12/16/2010 | |
** Signature of Reporting Person |
Date
|
|
/s/ Rachel Parrish, Attorney-in-fact | 12/16/2010 | |
** Signature of Reporting Person |
Date
|
|
/s/ Rachel Parrish, Attorney-in-fact | 12/16/2010 | |
** Signature of Reporting Person |
Date
|
|
/s/ Rachel Parrish, Attorney-in-fact | 12/16/2010 | |
** 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 control number. |
Designation of Additional Attorney-in-Fact
KNOW ALL PERSONS BY THESE PRESENTS that Yvette Kosic, a duly appointed
attorney-in-fact of GOLDMAN, SACHS MANAGEMENT GP GMBH (the "Company"), pursuant to that Power of Attorney, dated December 27, 2007 (the "POA"), does hereby designate Rachel Parrish, an employee of The Goldman Sachs Group, Inc. (the "Firm"), as an additional attorney-in-fact, with the same authority to act as provided to the undersigned and the other attorneys-in-fact named in the POA.
This Designation of Additional Attorney-in-Fact (this "Designation") shall not affect the continued power of the undersigned or the other named attorneys-in-fact to act under the POA to the full extent permitted thereby. This Designation shall remain in full force and effect until either it or the POA is revoked in writing by the Company or the Firm, or until such time as the person or persons to whom power of attorney has been hereby granted cease(s) to be an employee of the Firm or one of its affiliates.
IN WITNESS WHEREOF, the undersigned has duly subscribed these presents as of December 10, 2010.
GOLDMAN, SACHS MANAGEMENT GP GMBH
/s/ Yvette Kosic ----------------------- Yvette Kosic Attorney-in-Fact |