Securities Registration: Employee Benefit Plan (s-8)
March 19 2021 - 4:17PM
Edgar (US Regulatory)
As filed with the Securities and Exchange
Commission on March 19, 2021
Registration No. 333-
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM S-8
REGISTRATION STATEMENT UNDER THE SECURITIES
ACT OF 1933
DOLLAR
GENERAL CORPORATION
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(Exact name of registrant as specified in its charter)
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TENNESSEE
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61-0502302
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(State or other jurisdiction of
incorporation or organization)
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(I.R.S. Employer
Identification No.)
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100 MISSION RIDGE
GOODLETTSVILLE, TENNESSEE
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37072
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(Address of Principal Executive Offices)
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(Zip Code)
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DOLLAR GENERAL CORPORATION CDP/SERP PLAN
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(Full title of the plan)
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RHONDA M. TAYLOR, ESQ.
EXECUTIVE VICE PRESIDENT AND GENERAL
COUNSEL
100 MISSION RIDGE
GOODLETTSVILLE, TN 37072
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(Name and address of agent for service)
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(615) 855-4000
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(Telephone number, including area code, of agent for service)
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Indicate by check mark whether the registrant is a large accelerated
filer, an accelerated filer, a non-accelerated filer, a smaller reporting company or an emerging growth company. See the definitions
of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging
growth company” in Rule 12b-2 of the Exchange Act.
Large accelerated filer x
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Accelerated filer ¨
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Non-accelerated filer ¨
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Smaller reporting company ¨
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Emerging growth company ¨
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If an emerging growth company, indicate by check mark if the
registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards
provided pursuant to Section 13(a) of the Exchange Act. ¨
CALCULATION OF REGISTRATION FEE
Title of securities to be
registered
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Amount to be
registered
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Proposed maximum
offering price per
share
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Proposed maximum
aggregate offering
price (3)
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Amount of
registration fee
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Deferred Compensation Plan Obligations (1)(2)
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$
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40,000,000
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100
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%
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$
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40,000,000
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$
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4,364
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(1)
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The deferred compensation plan obligations to which this registration statement relates (the “Obligations”)
arise under the Dollar General Corporation CDP/SERP Plan (the “Plan”) and are unsecured obligations of Dollar
General Corporation (the “Registrant”) to pay deferred compensation in the future in accordance with the terms
of the Plan.
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(2)
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The Obligations being registered relate to an additional $40,000,000 of Obligations, for which
$40,000,000 of Obligations have previously been registered pursuant to Registration Statement No. 333-151049.
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(3)
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Estimated solely for the purpose of calculating the registration fee pursuant to Rule 457(h) of
the Securities Act of 1933, as amended (the “Securities Act”).
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EXPLANATORY NOTE
This Registration Statement on Form S-8 is being filed
for the purpose of registering an additional $40,000,000 of Obligations in accordance with the terms of the Plan. In accordance
with Section E of the General Instructions to Form S-8, the Registration Statement on Form S-8 previously filed
with the Securities and Exchange Commission (the “Commission”) relating to the Plan (Registration Statement
No. 333-151049) is incorporated by reference herein.
PART II
INFORMATION REQUIRED IN THE REGISTRATION
STATEMENT
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Item 3.
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Incorporation of Documents by Reference.
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The following document
previously filed by the Registrant with the Commission pursuant to the Securities Exchange Act of 1934, as amended (the “Exchange
Act”), is incorporated herein by reference:
All documents and reports
subsequently filed by the Registrant pursuant to Section 13(a), 13(c), 14 or 15(d) of the Exchange Act, prior to the
filing of a post-effective amendment to this Registration Statement which indicates that all securities offered hereby have been
sold or which deregisters all such securities then remaining unsold, shall be deemed to be incorporated by reference in this Registration
Statement and to be a part hereof from the date of filing of such documents. Any statements contained in a document incorporated
or deemed to be incorporated by reference herein shall be deemed to be modified or replaced for purposes hereof to the extent that
a statement contained herein (or in any other subsequently filed document which also is incorporated or deemed to be incorporated
by reference herein) modifies or replaces such statement. Any statement so modified or replaced shall not be deemed, except as
so modified or replaced, to constitute a part hereof.
SIGNATURES
The
Registrant. Pursuant to the requirements of the Securities Act of 1933, the Registrant certifies that it has reasonable
grounds to believe that it meets all of the requirements for filing on Form S-8 and has duly caused this Registration
Statement to be signed on its behalf by the undersigned, thereunto duly authorized, in the City of Goodlettsville, State of
Tennessee, on March 19, 2021.
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DOLLAR GENERAL CORPORATION
(Registrant)
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By:
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/s/ John W. Garratt
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John W. Garratt
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Executive Vice President and Chief Financial Officer
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KNOW ALL MEN BY THESE
PRESENTS, that each person whose signature appears below hereby constitutes and appoints John W. Garratt and Rhonda M. Taylor,
and any of them (with full power in each to act alone), his or her true and lawful attorney-in-fact and agent, with full power
of substitution and resubstitution, for him or her and in his or her name, place and stead, in any and all capacities, to sign
any and all amendments to this Registration Statement, and to file the same, with all exhibits thereto, and other documents in
connection therewith, with the Securities and Exchange Commission, granting unto each said attorney-in-fact and agent full power
and authority to do and perform each and every act and thing requisite and necessary to be done in and about the premises, as fully
to all intents and purposes as he or she might or could do in person, hereby ratifying and confirming all that each said attorney-in-fact
and agent, or his substitute or substitutes, may lawfully do or cause to be done by virtue hereof.
Pursuant to the requirements
of the Securities Act of 1933, this Registration Statement has been signed by the following persons in the capacities and on the
date indicated.
Signature
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Capacity
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Date
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/s/ Todd J. Vasos
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March 19,
2021
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Todd J. Vasos
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Chief Executive Officer and Director (principal executive officer)
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/s/ John W. Garratt
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March 19,
2021
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John W. Garratt
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Executive Vice President and Chief Financial Officer (principal financial officer)
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/s/ Anita C. Elliott
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March 19,
2021
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Anita C. Elliott
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Senior Vice President and Chief Accounting Officer (principal accounting officer)
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Signature
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Capacity
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Date
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/s/ Warren F. Bryant
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March 18, 2021
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Warren F. Bryant
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Director
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/s/ Michael M. Calbert
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March 19,
2021
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Michael M. Calbert
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Director
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/s/ Patricia
D. Fili-Krushel
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March 17,
2021
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Patricia D. Fili-Krushel
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Director
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/s/ Timothy McGuire
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March 17,
2021
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Timothy McGuire
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Director
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/s/ William C. Rhodes, III
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March 17,
2021
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William C. Rhodes, III
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Director
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/s/ Debra A. Sandler
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March 18,
2021
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Debra A. Sandler
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Director
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/s/ Ralph E. Santana
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March 17,
2021
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Ralph E. Santana
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Director
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