-----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, LKgAm85wHuTn61pbRxaGzRIn/7raeuFei0IKLGF1Zn045NQXe1XFT7Ili1bN8UT5 RIcn7qoUFf+4BvfGNCRgYA== 0001181431-05-019493.txt : 20050331 0001181431-05-019493.hdr.sgml : 20050331 20050331192150 ACCESSION NUMBER: 0001181431-05-019493 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20050331 FILED AS OF DATE: 20050331 DATE AS OF CHANGE: 20050331 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GRAND AVENUE CAPITAL CORP CENTRAL INDEX KEY: 0001243604 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-05742 FILM NUMBER: 05722520 MAIL ADDRESS: STREET 1: 11111SANTA MONICA BLVD STREET 2: STE 2000 CITY: LOS ANGELES STATE: CA ZIP: 90025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SOKOLOFF JONATHAN D CENTRAL INDEX KEY: 0001175522 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-05742 FILM NUMBER: 05722519 MAIL ADDRESS: STREET 1: 11111 SANTA MONICA BLVD STREET 2: STE 2000 CITY: LOS ANGELES STATE: CA ZIP: 90025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LEONARD GREEN PARTNERS LP CENTRAL INDEX KEY: 0001175523 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-05742 FILM NUMBER: 05722523 MAIL ADDRESS: STREET 1: 11111 SANTA MONICA BLVD STREET 2: STE 2000 CITY: LOS ANGELES STATE: CA ZIP: 90025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LGP MANAGEMENT INC CENTRAL INDEX KEY: 0001175525 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-05742 FILM NUMBER: 05722522 MAIL ADDRESS: STREET 1: 11111 SANTA MONICA BLVD STREET 2: STE 2000 CITY: LOS ANGELES STATE: CA ZIP: 90025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GEI CAPITAL III LLC CENTRAL INDEX KEY: 0001175526 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-05742 FILM NUMBER: 05722524 MAIL ADDRESS: STREET 1: 11111 SANTA MONICA BLVD STREET 2: STE 2000 CITY: LOS ANGELES STATE: CA ZIP: 90025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GREEN EQUITY INVESTORS SIDE III LP CENTRAL INDEX KEY: 0001243598 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-05742 FILM NUMBER: 05722525 MAIL ADDRESS: STREET 1: 11111SANTA MONICA BLVD STREET 2: STE 2000 CITY: LOS ANGELES STATE: CA ZIP: 90025 FORMER NAME: FORMER CONFORMED NAME: GREEN EQITY INVESTORS SIDE III LP DATE OF NAME CHANGE: 20030618 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GRAND AVENUE ASSOCIATES LP CENTRAL INDEX KEY: 0001243601 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-05742 FILM NUMBER: 05722521 MAIL ADDRESS: STREET 1: 11111SANTA MONICA BLVD STREET 2: STE 2000 CITY: LOS ANGELES STATE: CA ZIP: 90025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GREEN EQUITY INVESTORS III LP CENTRAL INDEX KEY: 0001072272 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-05742 FILM NUMBER: 05722526 BUSINESS ADDRESS: STREET 1: 11111 SANTA MONICA BLVD STREET 2: SUITE 2000 CITY: LOS ANGELES STATE: CA ZIP: 90025 MAIL ADDRESS: STREET 1: C/O LEONARD GREEN & PARTNERS LP STREET 2: 11111 SANTA MONICA BLVD - SUITE 2000 CITY: LOS ANGELES STATE: CA ZIP: 90025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DANHAKL JOHN G CENTRAL INDEX KEY: 0001162644 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-05742 FILM NUMBER: 05722518 BUSINESS ADDRESS: BUSINESS PHONE: 3109540444 MAIL ADDRESS: STREET 1: C/O LEONARD GREEN & PARTNERS LP STREET 2: SUITE 2000 CITY: LOS ANGELES STATE: CA ZIP: 90025 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: RITE AID CORP CENTRAL INDEX KEY: 0000084129 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-DRUG STORES AND PROPRIETARY STORES [5912] IRS NUMBER: 231614034 STATE OF INCORPORATION: DE FISCAL YEAR END: 0302 BUSINESS ADDRESS: STREET 1: 30 HUNTER LANE CITY: CAMP HILL OWN STATE: PA ZIP: 17011 BUSINESS PHONE: 7177612633 MAIL ADDRESS: STREET 1: PO BOX 3165 CITY: HARRISBURG STATE: PA ZIP: 17105 FORMER COMPANY: FORMER CONFORMED NAME: RACK RITE DISTRIBUTORS DATE OF NAME CHANGE: 19680510 FORMER COMPANY: FORMER CONFORMED NAME: LEHRMAN LOUIS & CO DATE OF NAME CHANGE: 19680510 4 1 rrd73824.xml RITE AID PIK DIVIDEND 3/31/05 (2) X0202 4 2005-03-31 0 0000084129 RITE AID CORP RAD 0001072272 GREEN EQUITY INVESTORS III LP 11111 SANTA MONICA BOULEVARD SUITE 2000 LOS ANGELES CA 90025 0 0 1 0 0001243598 GREEN EQUITY INVESTORS SIDE III LP 11111 SANTA MONICA BOULEVARD SUITE 2000 LOS ANGELES CA 90025 0 0 1 0 0001175526 GEI CAPITAL III LLC 11111 SANTA MONICA BOULEVARD SUITE 2000 LOS ANGELES CA 90025 0 0 1 0 0001175523 LEONARD GREEN PARTNERS LP 11111 SANTA MONICA BOULEVARD SUITE 2000 LOS ANGELES CA 90025 0 0 1 0 0001175525 LGP MANAGEMENT INC 11111 SANTA MONICA BOULEVARD SUITE 2000 LOS ANGELES CA 90025 0 0 1 0 0001243601 GRAND AVENUE ASSOCIATES LP 11111 SANTA MONICA BOULEVARD SUITE 2000 LOS ANGELES CA 90025 0 0 1 0 0001243604 GRAND AVENUE CAPITAL CORP 11111 SANTA MONICA BOULEVARD SUITE 2000 LOS ANGELES CA 90025 0 0 1 0 0001175522 SOKOLOFF JONATHAN D 11111 SANTA MONICA BOULEVARD SUITE 2000 LOS ANGELES CA 90025 1 0 0 0 0001162644 DANHAKL JOHN G 11111 SANTA MONICA BOULEVARD SUITE 2000 LOS ANGELES CA 90025 1 0 0 0 8% Series F Cumulative Convertible Pay-In-Kind Preferred 5.50 2005-03-31 4 J 0 22616 A Common Stock 411204 1153428 D 7% Series G Cumulative Convertible Pay-In-Kind Preferred 5.50 2005-03-31 4 J 0 19789 A Common Stock 359803 1150601 D 6% Series H Cumulative Convertible Pay-In-Kind Preferred 5.50 2005-03-31 4 J 0 16962 A Common Stock 308403 1147774 D The 8% Series F Cumulative Convertible Pay-In-Kind Preferred Stock (the "Series F Preferred Stock") of Rite Aid Corporation (the "Issuer") pays an annual dividend of 8% in quarterly installments in the form of cash or additional shares of Series F Preferred Stock at the Issuer's election. This Form 4 is being filed to report the quarterly dividend paid on March 31, 2005 in the form of approximately 22,616 shares of Series F Preferred Stock. The 7% Series G Cumulative Convertible Pay-In-Kind Preferred Stock (the "Series G Preferred Stock") of the Issuer pays an annual dividend of 7% in quarterly installments in the form of cash or additional shares of Series G Preferred Stock at the Issuer's election. This Form 4 is being filed to report the quarterly dividend paid on March 31, 2005 in the form of approximately 19,789 additional shares of Series G Preferred Stock. The 6% Series H Cumulative Convertible Pay-In-Kind Preferred Stock (the "Series H Preferred Stock") of the Issuer pays an annual dividend of 6% in quarterly installments in the form of cash or additional shares of Series H Preferred Stock at the Issuer's election. This Form 4 is being filed to report the quarterly dividend paid on March 31, 2005 in the form of approximately 16,962 additional shares of Series H Preferred Stock. Immediately. Not applicable. The number of shares listed in Column 7 represents the approximate number of shares of common stock, par value $1.00 per share, of the Issuer ("Common Stock") issuable upon conversion of the derivative securities reported in Column 5. Exhibits Exhibit 99 -- Joint Filer Information /s/ Julia Chang, as Attorney-in-Fact for Jonathan D. Sokoloff, as Manager of GEI Capital III, LLC, General Partner of Green Equity Investors III, L.P. 2005-03-31 EX-99. 2 rrd62918_71207.htm JOINT FILER INFORMATION rrd62918_71207.html 
EXHIBIT 99

Form 4 Joint Filer Information


Name:					Green Equity Investors Side III, L.P.
Relationship to Issuer:			Green Equity Investors Side III, L.P. is an affiliated fund of
					Green Equity Investors III, L.P. and invests in tandem with
					Green Equity Investors III, L.P.  The investments of Green
					Equity Investors Side III, L.P. represent less than 1% of the
					amount invested in each transaction.
Address:				11111 Santa Monica Boulevard, Suite 2000
					Los Angeles, CA 90025

Designated Filer:			Green Equity Investors III, L.P.
Issuer & Ticker Symbol:			Rite Aid Corporation (RAD)
Date of Event Requiring Statement:	March 31, 2005

					By: GEI Capital III, LLC, its General Partner


					Signature: /s/ Julia Chang
					By: 	Julia Chang, as Attorney-in-Fact for
						Jonathan D. Sokoloff
					Title: 	Manager
					Date: 	March 31, 2005



Name:					GEI Capital III, LLC
Relationship to Issuer:			General Partner of Green Equity Investors III, L.P. and
					Green Equity Investors Side III, L.P.
Address:				11111 Santa Monica Boulevard, Suite 2000
					Los Angeles, CA 90025

Designated Filer:			Green Equity Investors III, L.P.
Issuer & Ticker Symbol:			Rite Aid Corporation (RAD)
Date of Event Requiring Statement:	March 31, 2005



					Signature: /s/ Julia Chang
					By: 	Julia Chang, as Attorney-in-Fact for
						Jonathan D. Sokoloff
					Title: 	Manager
					Date: 	March 31, 2005




Name:					Grand Avenue Associates, L.P.
Relationship to Issuer:			Limited Partner of Green Equity Investors III, L.P.
Address:				11111 Santa Monica Boulevard, Suite 2000
					Los Angeles, CA 90025

Designated Filer:			Green Equity Investors III, L.P.
Issuer & Ticker Symbol:			Rite Aid Corporation (RAD)
Date of Event Requiring Statement:	March 31, 2005

					By: Grand Avenue Capital Corporation, its General Partner


					Signature: /s/ Julia Chang
					By: 	Julia Chang, as Attorney-in-Fact for
						Jonathan D. Sokoloff
					Title: 	Vice President
					Date: 	March 31, 2005



Name:					Grand Avenue Capital Corporation
Relationship to Issuer:			General Partner of Grand Avenue Associates, L.P., which
					is a Limited Partner of Green Equity Investors III, L.P.
Address:				11111 Santa Monica Boulevard, Suite 2000
					Los Angeles, CA 90025

Designated Filer:			Green Equity Investors III, L.P.
Issuer & Ticker Symbol:			Rite Aid Corporation (RAD)
Date of Event Requiring Statement:	March 31, 2005



					Signature: /s/ Julia Chang
					By: 	Julia Chang, as Attorney-in-Fact for
						Jonathan D. Sokoloff
					Title: 	Vice President
					Date: 	March 31, 2005



Name:					Leonard Green & Partners, L.P.
Relationship to Issuer:			Management company of Green Equity Investors III, L.P.
					and Green Equity Investors Side III, L.P.
Address:				11111 Santa Monica Boulevard, Suite 2000
					Los Angeles, CA 90025

Designated Filer:			Green Equity Investors III, L.P.
Issuer & Ticker Symbol:			Rite Aid Corporation (RAD)
Date of Event Requiring Statement:	March 31, 2005

					By: LGP Management, Inc., its General Partner


					Signature: /s/ Julia Chang
					By: 	Julia Chang, as Attorney-in-Fact for
						Jonathan D. Sokoloff
					Title: 	Vice President
					Date: 	March 31, 2005



Name:					LGP Management, Inc.
Relationship to Issuer:			General Partner of Leonard Green & Partners, L.P., which
					is the management company of Green Equity Investors III,
					L.P. and Green Equity Investors Side III, L.P.
Address:				11111 Santa Monica Boulevard, Suite 2000
					Los Angeles, CA 90025

Designated Filer:			Green Equity Investors III, L.P.
Issuer & Ticker Symbol:			Rite Aid Corporation (RAD)
Date of Event Requiring Statement:	March 31, 2005



					Signature: /s/ Julia Chang
					By: 	Julia Chang, as Attorney-in-Fact for
						Jonathan D. Sokoloff
					Title: 	Vice President
					Date: 	March 31, 2005


Name:					Jonathan D. Sokoloff
Relationship to Issuer:			Director of the Issuer and Partner of Leonard Green &
					Partners, L.P., which is the management company
					of Green Equity Investors III, L.P. and Green Equity
					Investors Side III, L.P.
Address:				11111 Santa Monica Boulevard, Suite 2000
					Los Angeles, CA 90025

Designated Filer:			Green Equity Investors III LP
Issuer & Ticker Symbol:			Rite Aid Corporation (RAD)
Date of Event Requiring Statement:	March 31, 2005



					Signature: /s/ Julia Chang
					By: 	Julia Chang, as Attorney-in-Fact for
						Jonathan D. Sokoloff
					Date: 	March 31, 2005


Name:					John G. Danhakl
Relationship to Issuer:			Director of the Issuer and Partner of Leonard Green &
					Partners, L.P., which is the management company
					of Green Equity Investors III, L.P. and Green Equity
					Investors Side III, L.P.
Address:				11111 Santa Monica Boulevard, Suite 2000
					Los Angeles, CA 90025

Designated Filer:			Green Equity Investors III LP
Issuer & Ticker Symbol:			Rite Aid Corporation (RAD)
Date of Event Requiring Statement:	March 31, 2005



					Signature: /s/ Julia Chang
					By: 	Julia Chang, as Attorney-in-Fact for
						John G. Danhakl
					Date: 	March 31, 2005


Each of the above reporting persons directly (whether through ownership or position) or
indirectly through one or more intermediaries, may be deemed for purposes of Section 16 of the
Securities Exchange Act of 1934, as amended, to be the indirect beneficial owner of the shares
owned by Green Equity Investors III, L.P. and Green Equity Investors Side III, L.P. and,
therefore, a "ten percent holder" hereunder. Each of the reporting persons disclaims beneficial
ownership of the securities reported herein, except to the extent of its pecuniary interest therein,
and this report shall not be deemed an admission that any of the reporting persons is the
beneficial owner of such securities for purposes of Section 16 or for any other purposes.
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