FORM 3
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Washington, D.C. 20549 |
OMB APPROVAL
OMB Number: 3235-0104 Estimated average burden hours per response... 0.5 |
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1. Name and Address of Reporting Person * KKR Fund Holdings L.P. |
2. Date of Event Requiring Statement (MM/DD/YYYY)
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3. Issuer Name and Ticker or Trading Symbol DOLLAR GENERAL CORP [DG] |
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4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director
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X
___ 10% Owner
_____ Officer (give title below) _____ Other (specify below) |
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5. 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 Beneficially Owned |
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1.Title of Security
(Instr. 4) |
2. Amount of Securities Beneficially Owned
(Instr. 4) |
3. Ownership Form: Direct (D) or Indirect (I)
(Instr. 5) |
4. Nature of Indirect Beneficial Ownership
(Instr. 5) |
Common Stock, par value $0.875 per share | 116265659 | I | Held through Buck Holdings, L.P. and KKR 2006 Fund L.P. (1) (2) (6) (8) (9) |
Common Stock, par value $0.875 per share | 24535553 | I | Held through Buck Holdings, L.P. and KKR PEI Investments, L.P. (1) (3) (6) (8) (9) |
Common Stock, par value $0.875 per share | 4035862 | I | Held through Buck Holdings, L.P. and 8 North America Investor L.P. (1) (4) (6) (8) (9) |
Common Stock, par value $0.875 per share | 17262869 | I | Held through Buck Holdings, L.P. and Buck Holdings Co-Invest, LP (1) (5) (6) (8) (9) |
Common Stock, par value $0.875 per share | 2699999 | I | Held through Buck Holdings, L.P. and KKR Partners III, L.P. (1) (7) (8) (9) |
Remarks:
(10) Mr. Janetschek is signing in his capacity as director of KKR Fund Holdings GP Limited, the general partner of KKR Fund Holdings L.P., the designated member of KKR 2006 GP LLC, the sole general partner of KKR Associates 2006 L.P., the sole general partner of KKR 2006 Fund L.P. (11) Mr. Janetschek is signing in his capacity as director of KKR Fund Holdings GP Limited, the general partner of KKR Fund Holdings L.P., the designated member of KKR 2006 GP LLC, the sole general partner of KKR Associates 2006 L.P. (12) Mr. Janetschek is signing in his capacity as director of KKR Fund Holdings GP Limited, the general partner of KKR Fund Holdings L.P., the designated member of KKR 2006 GP LLC. (13) Mr. Janetschek is signing in his capacity as director of KKR Fund Holdings GP Limited, the general partner of KKR Fund Holdings L.P. |
Reporting Owners
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Reporting Owner Name / Address |
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Director | 10% Owner | Officer | Other | ||
KKR Fund Holdings L.P.
C/O KOHLBERG KRAVIS ROBERTS & CO. L.P. 9 WEST 57TH STREET, SUITE 4200 NEW YORK, NY 10019 |
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X |
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KKR Associates 2006 LP
C/O KOHLBERG KRAVIS ROBERTS & CO. L.P. 9 WEST 57TH STREET, SUITE 4200 NEW YORK, NY 10019 |
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X |
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KKR 2006 GP LLC
C/O KOHLBERG KRAVIS ROBERTS & CO. L.P. 9 WEST 57TH STREET, SUITE 4200 NEW YORK, NY 10019 |
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X |
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KKR 2006 Fund L.P.
C/O KOHLBERG KRAVIS ROBERTS & CO. L.P. 9 WEST 57TH STREET, SUITE 4200 NEW YORK, NY 10019 |
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X |
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Signatures
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/s/ William J. Janetschek, KKR 2006 Fund L.P. (10) | 11/12/2009 | |
** Signature of Reporting Person | Date | |
/s/ William J. Janetschek, KKR Associates 2006 L.P. (11) | 11/12/2009 | |
** Signature of Reporting Person | Date | |
/s/ William J. Janetschek, KKR 2006 GP LLC (12) | 11/12/2009 | |
** Signature of Reporting Person | Date | |
/s/ William J. Janetschek, KKR Fund Holdings L.P. (13) | 11/12/2009 | |
** 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 5(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. |