UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, DC 20549
FORM 4
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
Section 30(h) of the Investment Company Act of 1940
|_| Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
|X| Director |X| 10% Owner |X| Officer (give title below) |_| Other (specify below)
5. Amount of 6. 4. Securities Owner- Securities Acquired (A) or Beneficially ship 2A. 3. Disposed of (D) Owned Form: 7. 2. Deemed Transaction (Instr. 3, 4 and 5) Following Direct Nature of Trans- Execution Code ------------------------------- Reported (D) or Indirect 1. action Date, if (Instr. 8) (A) Transaction(s) Indirect Beneficial Title of Security Date any ------------ or (Instr. 3 & (I) Ownership (Instr. 3) (mm/dd/yy) (mm/dd/yy) Code V Amount (D) Price Instr.4) (Instr.4) (Instr.4) ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 10/16/02 J(1) V 5,570,501 A(1) 12,029,157 D ------------------------------------------------------------------------------------------------------------------------------------ Co-TTEE Common Stock 10/16/02 J(1) 22,282,004 D(1) 6,343,780 I TCT ------------------------------------------------------------------------------------------------------------------------------------ Co-TTEE Common Stock 1,881,513 I ETC TR ------------------------------------------------------------------------------------------------------------------------------------ Co-TTEE Common Stock 1,881,036 I LJTD TR ------------------------------------------------------------------------------------------------------------------------------------ Co-TTEE Common Stock 1,531,180 I JST TR ------------------------------------------------------------------------------------------------------------------------------------ Co-TTEE Common Stock 1,293,620 I HCT TR ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 758,836 I By spouse ------------------------------------------------------------------------------------------------------------------------------------ Co-TTEE Common Stock 272,779 I Dugas TR ------------------------------------------------------------------------------------------------------------------------------------ TTEE Common Stock 150,000 I CT Annuity TR ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 11,559 I By 401(k) ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 10,265 I By IRA ------------------------------------------------------------------------------------------------------------------------------------ Co-EXEC Common Stock 82 I CTS Estate ==================================================================================================================================== |
FORM 4 (continued)
Table II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
9. Number 10. of Owner- deriv- ship ative Form 2. Secur- of Conver- 5. 7. ities Deriv- 11. sion Number of Title and Amount Bene- ative Nature or Derivative 6. of Underlying 8. ficially Secur- of Exer- 3A. 4. Securities Date Securities Price Owned ity: In- cise Deemed Trans- Acquired (A) Exercisable and (Instr. 3 and 4) of Follow- Direct direct Price 3. Execut- action or Disposed Expiration Date ---------------- Deriv- ing (D) or Bene- 1. of Trans- ion Code of(D) (Month/Day/Year) Amount ative Reported In- ficial Title of Deriv- action Date if (Instr. (Instr. 3, ---------------- or Secur- Trans- direct Owner- Derivative ative Date any 8) 4 and 5) Date Expira- Number ity action(s) (I) ship Security Secur- (mm/dd/ (mm/dd/ ------ ------------ Exer- tion of (Instr. (Instr. (Instr. (Instr. (Instr. 3) ity yy) yy) Code V (A) (D) cisable Date Title Shares 5) 4) 4) 4) ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ==================================================================================================================================== |
Explanation of Responses:
1) On October 16, 2002, the Turner Children Trust distributed an aggregate of 22,282,004 shares of Dollar General common stock to the beneficiaries of the trust. The reporting person is a co-trustee and one of four beneficiaries of the Turner Children Trust. Therefore, the reporting person is reporting the distribution of 22,282,004 shares by the trust to the beneficiaries, and the receipt of 5,570,501 shares as a result of the reporting person's one-quarter beneficial interest in the trust.
/s/ Cal Turner, Jr. 10/16/2002 --------------------------------------------- ----------------------- **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.