Sec Form 4 Filing - TAYLOR RHONDA @ DOLLAR GENERAL CORP - 2021-03-09

Insider filing report for Changes in Beneficial Ownership
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FORM 4
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
TAYLOR RHONDA
2. Issuer Name and Ticker or Trading Symbol
DOLLAR GENERAL CORP [ DG]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
EVP & General Counsel
(Last) (First) (Middle)
100 MISSION RIDGE
3. Date of Earliest Transaction (MM/DD/YY)
03/09/2021
(Street)
GOODLETTSVILLE, TN37072
4. If Amendment, Date Original Filed (MM/DD/YY)
6. 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)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction 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 03/09/2021 A 17,868 ( 1 ) A $ 0 45,830 D
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) 3A. Deemed Execution Date, if any (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)
8. Price of Derivative Security
(Instr. 5)
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)
11. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
TAYLOR RHONDA
100 MISSION RIDGE
GOODLETTSVIL LE, TN37072
EVP & General Counsel
Signatures
/s/ Rhonda Taylor 03/11/2021
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Performance share units ("PSUs") earned by reporting person from March 21, 2018 & March 17, 2020 grants, as certified by Issuer's Compensation Committee on March 9, 2021. Each PSU represents right to one share of Issuer's common stock. Amount reported includes: (i) 10,743 PSUs earned as a result of Issuer's fiscal years 2018-2020 average adjusted ROIC performance (2018 grant), all of which will become vested & be settled & paid in unrestricted shares of Issuer's common stock on April 1, 2021; & (ii) 7,125 PSUs earned as a result of Issuer's fiscal year 2020 adjusted EBITDA performance (2020 grant), 2,375 of which will become vested & be settled & paid in unrestricted shares of Issuer's common stock on April 1, 2021, & remainder of which is subject to time-vesting requirements (2,375 on each of April 1, 2022 & April 1, 2023) & certain forfeiture & accelerated vesting provisions, & once vested are payable solely in unrestricted shares of Issuer's common stock.

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* If the form is filed by more than one reporting person, see Instruction 4(b)(v).
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