-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, QjeoC6QOv0vcqzeIGToRRMHPPAsQDdCTQ2Mgxe/XCgZhmw7T30PWvZY8J2ViOFrt LRquTye8pBnV22Edf3M8dg== 0000029534-98-000033.txt : 19981124 0000029534-98-000033.hdr.sgml : 19981124 ACCESSION NUMBER: 0000029534-98-000033 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19981112 FILED AS OF DATE: 19981123 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: DOLLAR GENERAL CORP CENTRAL INDEX KEY: 0000029534 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-VARIETY STORES [5331] IRS NUMBER: 610502302 STATE OF INCORPORATION: TN FISCAL YEAR END: 0131 FILING VALUES: FORM TYPE: 3 SEC ACT: SEC FILE NUMBER: 001-11421 FILM NUMBER: 98757602 BUSINESS ADDRESS: STREET 1: 104 WOODMONT BLVD STE 500 CITY: NASHVILLE STATE: TN ZIP: 37205 BUSINESS PHONE: 6157832156 MAIL ADDRESS: STREET 1: 104 WOODMONT BLVD STE 500 CITY: NASHVILLE STATE: TN ZIP: 37205 FORMER COMPANY: FORMER CONFORMED NAME: TURNER CAL DATE OF NAME CHANGE: 19710401 FORMER COMPANY: FORMER CONFORMED NAME: TURNER J L & SON INC DATE OF NAME CHANGE: 19710401 COMPANY DATA: COMPANY CONFORMED NAME: WARNER ROBERT I CENTRAL INDEX KEY: 0001074132 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-VARIETY STORES [5331] OFFICER STATE OF INCORPORATION: TN FISCAL YEAR END: 0131 FILING VALUES: FORM TYPE: 3 BUSINESS ADDRESS: STREET 1: 104 WOODMONT BLVD STE 500 CITY: NASHVILLE STATE: TN ZIP: 37205 BUSINESS PHONE: 6157832156 MAIL ADDRESS: STREET 1: 104 WOODMONT BLVD STE 500 CITY: NASHVILLE STATE: TN ZIP: 37205 3 1
- ---------------- U.S. SECURITIES AND EXCHANGED COMMISION ---------------------------- |F O R M 3| Washington, D.C. 20549 | OMB APPROVAL | - ---------------- |--------------------------| INITIAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP |OMB Number 3235-0104| |Expires: September 30,1998| Filed pursuant to Section 16(a) of the Securities Exchanged Act of 1934, |Estimated ave. burden | Section 17(a) of the Public Utility Holding Company Act of 1935 or |hours per response.....0.5| Section 30(f) of the Investment Company Act 1940 ---------------------------- - ------------------------------------------------------------------------------------------------------------------------------------ |1.Name and Address of Reporting Person* |2.Date of Event |4.Issuer Name and Ticker or Trading Symbol | | | Requiring Statement | | |WARNER ROBERT I | (Month/Day/Year) | Dollar General Corporation (DG) | | | | | |----------------------------------------| |-----------------------------------------------------------------| | (Last) (First) (MI)| 11/12/1998 |5.Relationship of Reporting Person to |6.If Amendment, Date of | | | | Issuer (Check all Applicable) | Original (Mon/Day/Year)| | 104 Woodmont Blvd., Suite 300 | | | | | |-----------------------| Director 10% Owner | | | |3.IRS or Soc. Sec. No. |--- --- |-------------------------| |----------------------------------------| of Reporting Person | |7.Individual or Joint/ | | (Street) | (Voluntary) | X Officer Other | Group Filing | | | |---(give title below)---(Specify below)| (Check Applicable Line)| | | | | X Form filed by One | |Nashville TN 37205 | | |--- Reporting Person | | | | | Form filed by More | | | | |--- than Reporting Person| |----------------------------------------------------------------------------------------------------------------------------------| | (City) (State) (Zip) | | TABLE I - Non-Derivative Securities Beneficially Owned | |----------------------------------------------------------------------------------------------------------------------------------| |1.Title of Security (Instr. 4) |2.Amount of Securities |3.Ownership |4.Nature of Indirect Beneficial | | | Beneficially Owned | Form: | Ownership (Instr. 5) | | | (Instr. 4) | Direct (D) | | | | | or Indirect | | | | | (I)(Instr.5)| | |------------------------------------------|-----------------------------|--------------|------------------------------------------| | | | | | | Common Stock | 26,328 | D | | | | | | | |------------------------------------------|-----------------------------|--------------|------------------------------------------| | Common Stock | 7,798 | I | SPOUSE | | | | | | |------------------------------------------|-----------------------------|--------------|------------------------------------------| | Common Stock | 825 | I | SPOUSE AS CUST. FOR SON'S UGMA | | | | | | |------------------------------------------|-----------------------------|--------------|------------------------------------------| | Common Stock | 825 | I | SPOUSE AS CUST. FOR SON'S UGMA | | | | | | |------------------------------------------|-----------------------------|--------------|------------------------------------------| | | | | | | | | | | |------------------------------------------|-----------------------------|--------------|------------------------------------------| | | | | | | | | | | |------------------------------------------|-----------------------------|--------------|------------------------------------------| | | | | | | | | | | |------------------------------------------|-----------------------------|--------------|------------------------------------------| | | | | | | | | | | |------------------------------------------|-----------------------------|--------------|------------------------------------------| | | | | | | | | | | |------------------------------------------|-----------------------------|--------------|------------------------------------------| | | | | | | | | | | |------------------------------------------|-----------------------------|--------------|------------------------------------------| | | | | | | | | | | - ------------------------------------------------------------------------------------------------------------------------------------ Reminder: Report on a separate line for each class securities owned directly or indirectly. SEC 1473 (7-96) *If the form is filed by more than one reporting person, see Instruction 5(b)(v). PAGE: 1 OF 6
FORM 3 (continued) TABLE II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible security) - ------------------------------------------------------------------------------------------------------------------------------------ |1.Title of |2.Date Exercisable and |3.Title and Amount of Underlying |4.Conversion or |5. |6.Nature of | | Derivative | Expiration Date | Derivative Security (Instr. 4) | Exercise Price |Own. | Indirect | | Security | (Month/Day/Year) | | of Derivative |Form | Beneficial | | (Instr. 4) | | | Security |of | Ownership | | | | | |Deri.| (Instr. 5) | | | | | |Sec. | | | | | | |Dir. | | | | | | |(D) | | | |-----------------------------|--------------------------------------| |or | | | |Date |Expiration | |Amount or Number | |Ind. | | | |Exercisable |Date | Title |of Shares | |(I) | | |-------------------|--------------|--------------|-------------------|------------------|-------------------|-----|---------------| | | | | | | | | | |Stock Option | 11/01/1998 | 02/01/2001 |Common Stock | 14,540 | $.8906 | D | | | | | | | | | | | |-------------------|--------------|--------------|-------------------|------------------|-------------------|-----|---------------| |Stock Option | 11/01/1998 | 02/01/2001 |Common Stock | 37,540 | $.8906 | D | | | | | | | | | | | |-------------------|--------------|--------------|-------------------|------------------|-------------------|-----|---------------| |Stock Option | 11/01/1998 | 11/19/2002 |Common Stock | 37,993 | $3.5902 | D | | | | | | | | | | | |-------------------|--------------|--------------|-------------------|------------------|-------------------|-----|---------------| |Stock Option | 11/01/1998 | 12/01/2003 |Common Stock | 31,468 | $5.0331 | D | | | | | | | | | | | |-------------------|--------------|--------------|-------------------|------------------|-------------------|-----|---------------| |Stock Option | 06/01/2003 | 12/01/2003 |Common Stock | 13,110 | $5.0331 | D | | | | | | | | | | | |-------------------|--------------|--------------|-------------------|------------------|-------------------|-----|---------------| |Stock Option | 11/01/1998 | 12/01/2003 |Common Stock | 32,900 | $5.0331 | D | | | | | | | | | | | |-------------------|--------------|--------------|-------------------|------------------|-------------------|-----|---------------| |Stock Option | 11/01/1998 | 12/01/2003 |Common Stock | 16,446 | $5.0331 | D | | | | | | | | | | | |-------------------|--------------|--------------|-------------------|------------------|-------------------|-----|---------------| |Stock Option | 11/01/1998 | 03/21/2004 |Common Stock | 7,862 | $6.2390 | D | | | | | | | | | | | |-------------------|--------------|--------------|-------------------|------------------|-------------------|-----|---------------| |Stock Option | 11/01/1998 | 03/21/2004 |Common Stock | 9,828 | $6.2390 | D | | | | | | | | | | | |-------------------|--------------|--------------|-------------------|------------------|-------------------|-----|---------------| |Stock Option | 11/01/1998 | 03/21/2004 |Common Stock | 12,335 | $6.2390 | D | | | | | | | | | | | - ------------------------------------------------------------------------------------------------------------------------------------ Explanation of Responses: **Intentional misstatements or omissions of facts constitute Federal /s/BOB CARPENTER 11/20/1998 Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). ------------------------------------------ ---------- **Signature of Reporting Person 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. SEC 1473 (7-96) Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMD Number. WARNER, ROBERT Dollar General Corporation 11/10/1998 PAGE: 2 OF 6
- ---------------- U.S. SECURITIES AND EXCHANGED COMMISION ---------------------------- |F O R M 3| Washington, D.C. 20549 | OMB APPROVAL | - ---------------- |--------------------------| INITIAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP |OMB Number 3235-0104| |Expires: September 30,1998| Filed pursuant to Section 16(a) of the Securities Exchanged Act of 1934, |Estimated ave. burden | Section 17(a) of the Public Utility Holding Company Act of 1935 or |hours per response.....0.5| Section 30(f) of the Investment Company Act 1940 ---------------------------- - ------------------------------------------------------------------------------------------------------------------------------------ |1.Name and Address of Reporting Person* |2.Date of Event |4.Issuer Name and Ticker or Trading Symbol | | | Requiring Statement | | |WARNER ROBERT I | (Month/Day/Year) | Dollar General Corporation (DG) | | | | | |----------------------------------------| |-----------------------------------------------------------------| | (Last) (First) (MI)| 11/12/1998 |5.Relationship of Reporting Person to |6.If Amendment, Date of | | | | Issuer (Check all Applicable) | Original (Mon/Day/Year)| | 104 Woodmont Blvd., Suite 300 | | | | | |-----------------------| Director 10% Owner | | | |3.IRS or Soc. Sec. No. |--- --- |-------------------------| |----------------------------------------| of Reporting Person | |7.Individual or Joint/ | | (Street) | (Voluntary) | X Officer Other | Group Filing | | | |---(give title below)---(Specify below)| (Check Applicable Line)| | | | | X Form filed by One | |Nashville TN 37205 | | |--- Reporting Person | | | | | Form filed by More | | | | |--- than Reporting Person| |----------------------------------------------------------------------------------------------------------------------------------| | (City) (State) (Zip) | | TABLE I - Non-Derivative Securities Beneficially Owned | |----------------------------------------------------------------------------------------------------------------------------------| |1.Title of Security (Instr. 4) |2.Amount of Securities |3.Ownership |4.Nature of Indirect Beneficial | | | Beneficially Owned | Form: | Ownership (Instr. 5) | | | (Instr. 4) | Direct (D) | | | | | or Indirect | | | | | (I)(Instr.5)| | |------------------------------------------|-----------------------------|--------------|------------------------------------------| | | | | | | | | | | | | | | | |------------------------------------------|-----------------------------|--------------|------------------------------------------| | | | | | | | | | | |------------------------------------------|-----------------------------|--------------|------------------------------------------| | | | | | | | | | | |------------------------------------------|-----------------------------|--------------|------------------------------------------| | | | | | | | | | | |------------------------------------------|-----------------------------|--------------|------------------------------------------| | | | | | | | | | | |------------------------------------------|-----------------------------|--------------|------------------------------------------| | | | | | | | | | | |------------------------------------------|-----------------------------|--------------|------------------------------------------| | | | | | | | | | | |------------------------------------------|-----------------------------|--------------|------------------------------------------| | | | | | | | | | | |------------------------------------------|-----------------------------|--------------|------------------------------------------| | | | | | | | | | | |------------------------------------------|-----------------------------|--------------|------------------------------------------| | | | | | | | | | | |------------------------------------------|-----------------------------|--------------|------------------------------------------| | | | | | | | | | | - ------------------------------------------------------------------------------------------------------------------------------------ Reminder: Report on a separate line for each class securities owned directly or indirectly. SEC 1473 (7-96) *If the form is filed by more than one reporting person, see Instruction 5(b)(v). PAGE: 3 OF 6
FORM 3 (continued) TABLE II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible security) - ------------------------------------------------------------------------------------------------------------------------------------ |1.Title of |2.Date Exercisable and |3.Title and Amount of Underlying |4.Conversion or |5. |6.Nature of | | Derivative | Expiration Date | Derivative Security (Instr. 4) | Exercise Price |Own. | Indirect | | Security | (Month/Day/Year) | | of Derivative |Form | Beneficial | | (Instr. 4) | | | Security |of | Ownership | | | | | |Deri.| (Instr. 5) | | | | | |Sec. | | | | | | |Dir. | | | | | | |(D) | | | |-----------------------------|--------------------------------------| |or | | | |Date |Expiration | |Amount or Number | |Ind. | | | |Exercisable |Date | Title |of Shares | |(I) | | |-------------------|--------------|--------------|-------------------|------------------|-------------------|-----|---------------| | | | | | | | | | |Stock Option | 11/01/1998 | 03/27/2005 |Common Stock | 20,032 | $8.6016 | D | | | | | | | | | | | |-------------------|--------------|--------------|-------------------|------------------|-------------------|-----|---------------| |Stock Option | 11/01/1998 | 03/27/2005 |Common Stock | 10,002 | $8.6016 | D | | | | | | | | | | | |-------------------|--------------|--------------|-------------------|------------------|-------------------|-----|---------------| |Stock Option | 11/01/1998 | 03/27/2005 |Common Stock | 7,520 | $8.6016 | D | | | | | | | | | | | |-------------------|--------------|--------------|-------------------|------------------|-------------------|-----|---------------| |Stock Option | 09/25/2005 | 03/25/2006 |Common Stock | 19,347 | $9.8304 | D | | | | | | | | | | | |-------------------|--------------|--------------|-------------------|------------------|-------------------|-----|---------------| |Stock Option | 09/25/2005 | 03/25/2006 |Common Stock | 9,671 | $9.8304 | D | | | | | | | | | | | |-------------------|--------------|--------------|-------------------|------------------|-------------------|-----|---------------| |Stock Option | 03/25/1999 | 03/25/2006 |Common Stock | 7,253 | $9.8304 | D | | | | | | | | | | | |-------------------|--------------|--------------|-------------------|------------------|-------------------|-----|---------------| |Stock Option | 09/21/2006 | 03/21/2007 |Common Stock | 11,797 | $16.7680 | D | | | | | | | | | | | |-------------------|--------------|--------------|-------------------|------------------|-------------------|-----|---------------| |Stock Option | 09/21/2006 | 03/21/2007 |Common Stock | 5,897 | $16.7680 | D | | | | | | | | | | | |-------------------|--------------|--------------|-------------------|------------------|-------------------|-----|---------------| |Stock Option | 06/02/2000 | 06/02/2007 |Common Stock | 4,422 | $17.5360 | D | | | | | | | | | | | |-------------------|--------------|--------------|-------------------|------------------|-------------------|-----|---------------| |Stock Option | 02/25/2007 | 08/25/2007 |Common Stock | 2,968 | $20.8640 | D | | | | | | | | | | | - ------------------------------------------------------------------------------------------------------------------------------------ Explanation of Responses: **Intentional misstatements or omissions of facts constitute Federal /s/BOB CARPENTER 11/20/1998 Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). ------------------------------------------ ---------- **Signature of Reporting Person 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. SEC 1473 (7-96) Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMD Number. WARNER, ROBERT Dollar General Corporation 11/10/1998 PAGE: 4 OF 6
- ---------------- U.S. SECURITIES AND EXCHANGED COMMISION ---------------------------- |F O R M 3| Washington, D.C. 20549 | OMB APPROVAL | - ---------------- |--------------------------| INITIAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP |OMB Number 3235-0104| |Expires: September 30,1998| Filed pursuant to Section 16(a) of the Securities Exchanged Act of 1934, |Estimated ave. burden | Section 17(a) of the Public Utility Holding Company Act of 1935 or |hours per response.....0.5| Section 30(f) of the Investment Company Act 1940 ---------------------------- - ------------------------------------------------------------------------------------------------------------------------------------ |1.Name and Address of Reporting Person* |2.Date of Event |4.Issuer Name and Ticker or Trading Symbol | | | Requiring Statement | | |WARNER ROBERT I | (Month/Day/Year) | Dollar General Corporation (DG) | | | | | |----------------------------------------| |-----------------------------------------------------------------| | (Last) (First) (MI)| 11/12/1998 |5.Relationship of Reporting Person to |6.If Amendment, Date of | | | | Issuer (Check all Applicable) | Original (Mon/Day/Year)| | 104 Woodmont Blvd., Suite 300 | | | | | |-----------------------| Director 10% Owner | | | |3.IRS or Soc. Sec. No. |--- --- |-------------------------| |----------------------------------------| of Reporting Person | |7.Individual or Joint/ | | (Street) | (Voluntary) | X Officer Other | Group Filing | | | |---(give title below)---(Specify below)| (Check Applicable Line)| | | | | X Form filed by One | |Nashville TN 37205 | | |--- Reporting Person | | | | | Form filed by More | | | | |--- than Reporting Person| |----------------------------------------------------------------------------------------------------------------------------------| | (City) (State) (Zip) | | TABLE I - Non-Derivative Securities Beneficially Owned | |----------------------------------------------------------------------------------------------------------------------------------| |1.Title of Security (Instr. 4) |2.Amount of Securities |3.Ownership |4.Nature of Indirect Beneficial | | | Beneficially Owned | Form: | Ownership (Instr. 5) | | | (Instr. 4) | Direct (D) | | | | | or Indirect | | | | | (I)(Instr.5)| | |------------------------------------------|-----------------------------|--------------|------------------------------------------| | | | | | | | | | | | | | | | |------------------------------------------|-----------------------------|--------------|------------------------------------------| | | | | | | | | | | |------------------------------------------|-----------------------------|--------------|------------------------------------------| | | | | | | | | | | |------------------------------------------|-----------------------------|--------------|------------------------------------------| | | | | | | | | | | |------------------------------------------|-----------------------------|--------------|------------------------------------------| | | | | | | | | | | |------------------------------------------|-----------------------------|--------------|------------------------------------------| | | | | | | | | | | |------------------------------------------|-----------------------------|--------------|------------------------------------------| | | | | | | | | | | |------------------------------------------|-----------------------------|--------------|------------------------------------------| | | | | | | | | | | |------------------------------------------|-----------------------------|--------------|------------------------------------------| | | | | | | | | | | |------------------------------------------|-----------------------------|--------------|------------------------------------------| | | | | | | | | | | |------------------------------------------|-----------------------------|--------------|------------------------------------------| | | | | | | | | | | - ------------------------------------------------------------------------------------------------------------------------------------ Reminder: Report on a separate line for each class securities owned directly or indirectly. SEC 1473 (7-96) *If the form is filed by more than one reporting person, see Instruction 5(b)(v). PAGE: 5 OF 6
FORM 3 (continued) TABLE II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible security) - ------------------------------------------------------------------------------------------------------------------------------------ |1.Title of |2.Date Exercisable and |3.Title and Amount of Underlying |4.Conversion or |5. |6.Nature of | | Derivative | Expiration Date | Derivative Security (Instr. 4) | Exercise Price |Own. | Indirect | | Security | (Month/Day/Year) | | of Derivative |Form | Beneficial | | (Instr. 4) | | | Security |of | Ownership | | | | | |Deri.| (Instr. 5) | | | | | |Sec. | | | | | | |Dir. | | | | | | |(D) | | | |-----------------------------|--------------------------------------| |or | | | |Date |Expiration | |Amount or Number | |Ind. | | | |Exercisable |Date | Title |of Shares | |(I) | | |-------------------|--------------|--------------|-------------------|------------------|-------------------|-----|---------------| | | | | | | | | | |Stock Option | 02/25/2007 | 08/25/2007 |Common Stock | 2,066 | $20.8640 | D | | | | | | | | | | | |-------------------|--------------|--------------|-------------------|------------------|-------------------|-----|---------------| |Stock Option | 02/25/2007 | 08/25/2007 |Common Stock | 1,487 | $20.8640 | D | | | | | | | | | | | |-------------------|--------------|--------------|-------------------|------------------|-------------------|-----|---------------| |Stock Option | 02/25/2007 | 08/25/2007 |Common Stock | 1,033 | $20.8640 | D | | | | | | | | | | | |-------------------|--------------|--------------|-------------------|------------------|-------------------|-----|---------------| |Stock Option | 08/25/1999 | 08/25/2007 |Common Stock | 1,112 | $20.8640 | D | | | | | | | | | | | |-------------------|--------------|--------------|-------------------|------------------|-------------------|-----|---------------| |Stock Option | 08/25/2000 | 08/25/2007 |Common Stock | 776 | $20.8640 | D | | | | | | | | | | | |-------------------|--------------|--------------|-------------------|------------------|-------------------|-----|---------------| |Stock Option | 10/27/2007 | 04/27/2008 |Common Stock | 3,675 | $29.5000 | D | | | | | | | | | | | |-------------------|--------------|--------------|-------------------|------------------|-------------------|-----|---------------| |Stock Option | 11/01/1998 | 12/01/2003 |Common Stock | 26,221 | $5.0331 | D | | | | | | | | | | | |-------------------|--------------|--------------|-------------------|------------------|-------------------|-----|---------------| |Stock Option | 10/27/2007 | 04/27/2008 |Common Stock | 7,343 | $29.5000 | D | | | | | | | | | | | |-------------------|--------------|--------------|-------------------|------------------|-------------------|-----|---------------| | | | | | | | | | | | | | | | | | | |-------------------|--------------|--------------|-------------------|------------------|-------------------|-----|---------------| | | | | | | | | | | | | | | | | | | - ------------------------------------------------------------------------------------------------------------------------------------ Explanation of Responses: **Intentional misstatements or omissions of facts constitute Federal /s/BOB CARPENTER for Robert Warner 11/20/1998 Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). ------------------------------------------ ---------- **Signature of Reporting Person 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. SEC 1473 (7-96) Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMD Number. WARNER, ROBERT Dollar General Corporation 11/10/1998 PAGE: 6 OF 6
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