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 | 4/20/2010 | S | 10908293 | D | $25.92 (1) | 99285406 | 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 | 4/20/2010 | S | 2301978 | D | $25.92 (1) | 20952208 | 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 | 4/20/2010 | S | 378653 | D | $25.92 (1) | 3446437 | 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 | 4/20/2010 | S | 1619639 | D | $25.92 (1) | 14741679 | I | Held through Buck Holdings, L.P. and Buck Holdings Co-Invest, L.P. (2) (6) (7) (9) (10) | ||
Common Stock, par value $0.875 per share | 4/20/2010 | S | 253320 | D | $25.92 (1) | 2305671 | I | Held through Buck Holdings, L.P. and KKR Partners III, L.P. (2) (8) (9) (10) |
Remarks:
Exhibit 24.1 - Power of Attorney (11) Mr. Kreider is signing in his capacity as attorney-in-fact for William J. Janetschek, a 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. (12) Mr. Kreider is signing in his capacity as attorney-in-fact for Mr. Janetschek, a 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. (13) Mr. Kreider is signing in his capacity as attorney-in-fact for Mr. Janetschek, a director of KKR Fund Holdings GP Limited, the general partner of KKR Fund Holdings L.P., the designated member of KKR 2006 GP LLC. (14) Mr. Kreider is signing in his capacity as attorney-in-fact for Mr. Janetschek, a director of KKR Fund Holdings GP Limited, the general partner of KKR Fund Holdings L.P. |
Signatures
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/s/ Richard J. Kreider, KKR 2006 Fund L.P. (11) | 4/22/2010 | |
** Signature of Reporting Person |
Date
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/s/ Richard J. Kreider, KKR Associates 2006 L.P. (12) | 4/22/2010 | |
** Signature of Reporting Person |
Date
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/s/ Richard J. Kreider, KKR 2006 GP LLC (13) | 4/22/2010 | |
** Signature of Reporting Person |
Date
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/s/ Richard J. Kreider, KKR Fund Holdings L.P. (14) | 4/22/2010 | |
** 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). |
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. |
Exhibit 24.1
POWER OF ATTORNEY
Know all men by these presents that William J. Janetschek does hereby make, constitute and appoint Richard J. Kreider, as a true and lawful attorney-in-fact of the undersigned with full powers of substitution and revocation, for and in the name, place and stead of the undersigned (both in the undersigneds individual capacity and as a member of any limited liability company or as a partner of any partnership for which the undersigned is otherwise authorized to sign), to execute and deliver such forms as may be required to be filed from time to time with the Securities and Exchange Commission with respect to: (i) Sections 13(d) and 16(a) of the Securities Exchange Act of 1934, as amended (the Act), including without limitation, Schedule 13D, Schedule 13G, statements on Form 3, Form 4 and Form 5 and (ii) in connection with any applications for EDGAR access codes, including without limitation the Form ID.
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/s/ William J. Janetschek |
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Name: William J. Janetschek |
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Date: |
February 1, 2010 |
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