FORM 4 |
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 or Section 30(h) of the Investment Company Act of 1940 |
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
RITE AID CORP [ RAD ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 03/31/2004 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 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 |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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1. Title of Derivative Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 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 (Month/Day/Year) | 7. Title and Amount of Securities Underlying Derivative Security (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: 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 | ||||||||
8% Series D Cumulative Convertible Pay-In-Kind Preferred | $5.5 | 03/31/2004 | J(1) | 83,561(2) | 03/31/2004 | 08/08/1988 | Common Stock | 1,519,291(2) | $0(1) | 4,261,593 | D(3)(4)(5) |
1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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Explanation of Responses: |
1. The 8% Series D Cumulative Convertible Pay-In-Kind Preferred Stock (the "Series D 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 D Preferred Stock at the Issuer's election. This Form 4 is being filed to report the quarterly dividend paid on March 31, 2004 in the form of 83,561 additional shares of Series D Preferred Stock. |
2. 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 Series D Preferred Stock reported in Column 5. |
3. Green Equity Investors III, L.P. ("GEI III") and Green Equity Investors Side III, L.P. ("GEI Side III") are the direct owners of 4,261,593 shares of Series D Preferred Stock of the Issuer, as of March 31, 2004, which is convertible into approximately 77,483,509 shares of Common Stock (the "Shares"). GEI Side III is an affiliated fund of GEI III and invests in tandem with GEI III. GEI Side III's investments represent less than 1% of the amount invested in each transaction. GEI Capital III, LLC ("GEIC") is the general partner of GEI III and GEI Side III. Grand Avenue Associates, L.P. ("Grand Avenue") is a limited partner of GEI III. Grand Avenue Capital Corporation ("GACC") is the general partner of Grand Avenue. Leonard Green & Partners, L.P. ("LGP") is the management company of GEI III and GEI Side III and an affiliate of GEIC, Grand Avenue and GACC. LGP Management, Inc. ("LGPM") is the general partner of LGP. |
4. Jonathan D. Sokoloff and John G. Danhakl are each a director of the Issuer and a partner of LGP. |
5. LGP, as the management company of GEI III and GEI Side III, LGPM, as the general partner of LGP, GEIC, as the general partner of GEI III and GEI Side III, Grand Avenue, as the limited partner of GEI III, GACC, as the general partner of Grand Avenue and Messrs. Sokoloff and Danhakl 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 owners of the Shares owned by GEI III and GEI Side III and, therefore, a "ten percent holder" hereunder. Each of LGP, LGPM, GEIC, Grand Avenue, GACC and Messrs. Sokoloff and Danhakl disclaims beneficial ownership of the Shares reported herein, except to the extent of their pecuniary interest therein, and this report shall not be deemed an admission that the reporting persons are the beneficial owners of such securities for purposes of Section 16 or for any other purposes. |
Jonathan D. Sokoloff as Manager of GEI Capital III, LLC, General Partner of Green Equity Investors III, L.P. | 04/02/2004 | |
Jonathan D. Sokoloff as Manager of GEI Capital III, LLC, General Partner of Green Equity Investors Side III, L.P. | 04/02/2004 | |
Jonathan D. Sokoloff as Manager of GEI Capital III, LLC | 04/02/2004 | |
Jonathan D. Sokoloff as Vice President of LGP Management, Inc., General Partner of Leonard Green & Partners, L.P. | 04/02/2004 | |
Jonathan D. Sokoloff as Vice President of LGP Management, Inc. | 01/05/2004 | |
Jonathan D. Sokoloff as Vice President of Grand Avenue Capital Corporation, General Partner of Grand Avenue Associates, L.P. | 04/02/2004 | |
Jonathan D. Sokoloff as Vice President of Grand Avenue Capital Corporation | 04/02/2004 | |
Jonathan D. Sokoloff | 04/02/2004 | |
John G. Danhakl | 04/02/2004 | |
** Signature of Reporting Person | Date | |
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). | ||
** 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 is insufficient, see Instruction 6 for procedure. | ||
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. |