0000769993-11-000447.txt : 20110527
0000769993-11-000447.hdr.sgml : 20110527
20110527144312
ACCESSION NUMBER: 0000769993-11-000447
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20110525
FILED AS OF DATE: 20110527
DATE AS OF CHANGE: 20110527
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Jones Adrian M
CENTRAL INDEX KEY: 0001359316
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-11421
FILM NUMBER: 11877760
MAIL ADDRESS:
STREET 1: C/O GOLDMAN, SACHS & CO.
STREET 2: 85 BROAD STREET
CITY: NEW YORK
STATE: NY
ZIP: 10004
ISSUER:
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: 0201
BUSINESS ADDRESS:
STREET 1: 100 MISSION RIDGE
CITY: GOODLETTSVILLE
STATE: TN
ZIP: 37072
BUSINESS PHONE: 6158554000
MAIL ADDRESS:
STREET 1: 100 MISSION RIDGE
CITY: GOODLETTSVILLE
STATE: TN
ZIP: 37072
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
4
1
dg420110525amj_ex.xml
X0303
4
2011-05-25
0
0000029534
DOLLAR GENERAL CORP
DG
0001359316
Jones Adrian M
C/O GOLDMAN, SACHS & CO.
200 WEST STREET
NEW YORK
NY
10282
1
0
0
0
Common Stock
2011-05-25
4
A
0
1038
0
A
52477503
I
See Footnotes
Director Stock Option (right to buy)
33.16
2011-05-25
4
A
0
3194
0
A
2021-05-25
Common Stock
3194
3194
I
See footnotes
Director Stock Option (right to buy)
22.55
2019-11-18
Common Stock
5549
5549
I
See footnotes
The Reporting Person is a managing director of Goldman, Sachs & Co. ("Goldman Sachs"). Goldman Sachs is a wholly-owned
subsidiary of The Goldman Sachs Group, Inc. ("GS Group"). The Reporting Person disclaims beneficial ownership of the
securities reported herein except to the extent of his pecuniary interest therein, if any.
Pursuant to the Amended and Restated 2007 Stock Incentive Plan for Key Employees of Dollar General Corporation and Its
Affiliates (the "Plan"), 1,038 restricted stock units, which represent a contingent right to receive shares of common stock,
par value $0.875 per share (the "Common Stock"), upon vesting, were granted to Adrian M. Jones, in his capacity as a
director of Dollar General Corporation (the "Company"). These shares vest in three annual installments of 33 1/3% beginning
on May 25, 2012. GS Group may be deemed to beneficially own the 1,038 restricted stock units that were granted to Mr. Jones
on May 25, 2011. Mr. Jones has an understanding with GS Group pursuant to which he holds such shares for the benefit of GS
Group.
GS Group also may be deemed to beneficially own 1,525 restricted stock units that were granted to Adrian M. Jones in his
capacity as a director of the Company pursuant to the Plan on November 18, 2009. The restricted stock units represent a
contingent right to receive shares of Common Stock upon vesting and vest in three equal installments on each of the
Company's first, second, and third annual shareholders' meetings immediately following the grant date, which was November
18, 2009. Mr. Jones has an understanding with GS Group pursuant to which he holds such shares for the benefit of GS Group.
GS Group and Goldman Sachs may be deemed to beneficially own indirectly 52,474,940 shares of Common Stock of the Company by
reason of the indirect beneficial ownership of such shares by certain investment partnerships (the "GS Funds") and GSUIG,
L.L.C. ("GSUIG", and together with the GS Funds, the "Investing Entities"). The Investing Entities may be deemed to
beneficially own indirectly 52,474,940 shares of Common Stock by reason of the direct beneficial ownership of such shares by
Buck Holdings, L.P., a limited partnership whose general partner is Buck Holdings, LLC. The membership interests of Buck
Holdings, LLC are held by a private investor group, which includes the Investing Entities. Goldman Sachs is the investment
manager of the GS Funds. Affiliates of Goldman Sachs and GS Group are the general partner, managing limited partner,
managing partner or investment manager of the GS Funds. GSUIG is a wholly-owned subsidiary of GS Group.
Pursuant to the Plan, Adrian M. Jones was granted options to purchase 3,194 shares of Common Stock on May 25, 2011. The
options vest in four annual installments of 25% beginning on May 25, 2012. GS Group may be deemed to beneficially own the
options to purchase 3,194 shares of Common Stock that were granted to Mr. Jones on May 25, 2011 pursuant to the Plan. Mr.
Jones has an understanding with GS Group pursuant to which he holds such shares for the benefit of GS Group.
Pursuant to the Plan, Adrian M. Jones was granted options to purchase 5,549 shares of Common Stock on November 18, 2009. The
options vest in four annual installments of 25% beginning November 18, 2010. GS Group may be deemed to beneficially own the
options to purchase 5,549 shares of Common Stock that were granted to Mr. Jones on November 18, 2009 pursuant to the Plan.
Mr. Jones has an understanding with GS Group pursuant to which he holds such shares for the benefit of GS Group.
/s/ Yvette Kosic, Attorney-in-fact
2011-05-27