Dollar General 2015 Annual Report Download - page 48

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(9) Includes $5,270 and $10,289, respectively, for our match contributions to the CDP and the 401(k) Plan; $437 for premiums
paid under our life insurance program; and $16,823 which represents the aggregate incremental cost of providing certain
perquisites, including $8,115 for financial and estate planning services, $8,200 for a retirement gift and other amounts for
perquisites which individually did not equal or exceed the greater of $25,000 or 10% of total perquisites, including
premiums paid under our group long-term disability program, miscellaneous gifts and an administrative fee for coverage
under our short-term disability program, as well as participation in a group umbrella liability insurance program offered at
no incremental cost to Dollar General through a third party vendor at a group rate paid by the executive and coverage
under our business travel accident insurance for which Dollar General incurs no incremental cost for participation by the
named executive officers in addition to certain other employees.
(10) Includes $54,982 for our contribution to the SERP and $10,560 and $13,404, respectively, for our match contributions to the
CDP and the 401(k) Plan; $673 for premiums paid under our life insurance program; and $22,282 which represents the
aggregate incremental cost of providing certain perquisites, including $19,514 for financial and estate planning services and
other amounts for perquisites which individually did not equal or exceed the greater of $25,000 or 10% of total perquisites,
including premiums paid under our group long-term disability program, a directed donation to charity, costs associated with
attendance by him and his guests at sporting events, miscellaneous gifts and an administrative fee for coverage under our
short-term disability program, as well as participation in a group umbrella liability insurance program offered at no
incremental cost to Dollar General through a third party vendor at a group rate paid by the executive and coverage under
our business travel accident insurance for which Dollar General incurs no incremental cost for participation by the named
executive officers in addition to certain other employees.
(11) Includes $12,787 and $13,309, respectively, for our match contributions to the CDP and the 401(k) Plan; $737 for premiums
paid under our life insurance program; and $23,867 which represents the aggregate incremental cost of providing certain
perquisites, including $19,514 for financial and estate planning services and other amounts for perquisites which individually
did not equal or exceed the greater of $25,000 or 10% of total perquisites, including premiums paid under our group
long-term disability program, an executive physical, costs associated with attendance by him and his guests at sporting
events, miscellaneous gifts, nominal incremental costs incurred for his spouse to accompany him on business and an
administrative fee for coverage under our short-term disability program, as well as participation in a group umbrella liability
insurance program offered at no incremental cost to Dollar General through a third party vendor at a group rate paid by
the executive and coverage under our business travel accident insurance for which Dollar General incurs no incremental
cost for participation by the named executive officers in addition to certain other employees.
(12) Includes $52,521 for our contribution to the SERP and $13,453 for our match contributions to the 401(k) Plan; and $728
for premiums paid under our life insurance program. Perquisites and personal benefits totaled less than $10,000 and
accordingly are not included in the table.
(13) Includes $1,088 and $10,724, respectively, for our match contributions to the CDP and the 401(k) Plan; $305 for premiums
paid under our life insurance program; $811,863 earned or paid for fiscal 2015 in connection with his departure from Dollar
General equal to the sum of: (i) $420,326 representing the earned portion of the salary continuation payments, (ii) $362,303
representing two times the average percentage of his target bonus paid or to be paid to employees at the same job grade
level under the annual bonus program for officers for the two fiscal years immediately preceding fiscal 2015, (iii) $19,234
representing two times our annual contribution for his participation in our pharmacy, medical, dental and vision benefits
programs and (iv) $10,000 for outplacement services. See ‘‘Potential Payments upon Termination or Change in Control’’
below. Perquisites and personal benefits totaled less than $10,000 and accordingly are not included in the table.
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