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DOLLAR GENERAL CORP — Director's Dealing 2003
Mar 17, 2003
10165_dirs_2003-03-17_b015633b-523c-4fc0-9f5c-ea22704bcb1b.zip
Director's Dealing
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4 1 form42000warner.htm html PUBLIC "-//IETF//DTD HTML//EN" Form 5
| Form 4 | OMB APPROVAL | |
|---|---|---|
| OMB Number: 3235-0287 | ||
| Expires: January 31, 2005 | ||
| [_] | Check box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). | Estimated average burden hours per response. . . 0.5 |
| 1. Name and Address of Reporting Person* Warner Robert I. | 2. Issuer Name and Ticker or Trading Symbol Dollar General Corporation (DG) | 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) [ ] Director [] 10% Owner [X] Officer (give [] Other (specify title below) below) Vice President, General Merchandising Manager | |
|---|---|---|---|
| (Last) (First) (Middle) 100 Mission Ridge | 3. I.R.S. Identification Number of Reporting Person, if an entity (voluntary) | 4. Statement for Month/Day/Year April 4, 2000 | |
| (Street) Goodlettsville, TN 37072 | 5. If Amendment, Date of Original (Month/Day/Year) | 7. Individual or Joint/Group Filing (Check Applicable Line) [X] Form filed by One Reporting Person [_] Form filed by More than One Reporting Person | |
| (City) (State) (Zip) | Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned |
| 1. Title of Security (Instr. 3) — Code | V | 4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) — Amount | (A) or (D) | Price |
|---|---|---|---|---|
| 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). | |
|---|---|
| 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 Number. | (Over) SEC 1474 (9-02) |
FORM 4 (continued) Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned ( e.g. , puts, calls, warrants, options, convertible securities)
| 1.Title of Derivative Security (Instr.3) | 2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (mm/dd/yy) | 4. Transaction Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date (mm/dd/yy) | 7. Title and Amount of Underlying Securities (Instr. 3 and 4) | 9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) | ||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | |||||
| Employee Stock Option (Right to Buy) | $21.25 | 04/04/00 | A | 22,768(1) | 10/04/09 | 04/04/10 | Common Stock | 22,768(1) | 22,768(1) | D | ||
| Employee Stock Option (Right to Buy) | $21.25 | 04/04/00 | A | 11,381(2) | 10/04/09 | 04/04/10 | Common Stock | 11,381(2) | 11,381(2) | D |
Explanation of Responses: (1) Adjusted for stock split on 05/22/00. Initial grant was 18,214 shares at an exercise price of $26.5625. (2) Adjusted for stock split on 05/22/00. Initial grant was 9,105 shares at an exercise price of $26.5625.
| ** | 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 provided is insufficient, see Instruction 6 for procedure. |
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 OMB Number. Page 2
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