Statement of Changes in Beneficial Ownership (4)
September 16 2019 - 4:13PM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0287
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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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1. Name and Address of Reporting Person
*
HEIL JOHN |
2. Issuer Name and Ticker or Trading Symbol
TEMPUR SEALY INTERNATIONAL, INC.
[
TPX
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__X__ Director _____ 10% Owner _____ Officer (give title below) _____ Other (specify below)
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(Last)
(First)
(Middle)
C/O TEMPUR SEALY INTERNATIONAL, INC., 1000 TEMPUR WAY |
3. Date of Earliest Transaction
(MM/DD/YYYY)
9/12/2019
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(Street)
LEXINGTON, KY 40511
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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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)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code (Instr. 8)
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4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Common Stock
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9/12/2019
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M(1)
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1653
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A
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$59.82
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33312
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D
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Common Stock
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9/12/2019
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S(2)
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1253
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D
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$79
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32059
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D
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Common Stock
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9/12/2019
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M(1)
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1326
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A
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$52.87
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33385
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D
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Common Stock
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9/12/2019
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S(2)
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889
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D
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$79
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32496
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D
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Common Stock
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9/12/2019
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M(1)
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1023
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A
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$62.03
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33519
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D
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Common Stock
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9/12/2019
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S(2)
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804
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D
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$79
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32715
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D
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Common Stock
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9/12/2019
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M(1)
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679
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A
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$61.72
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33394
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D
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Common Stock
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9/12/2019
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S(2)
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531
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D
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$79
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32863
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D
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Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security (Instr. 3)
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2. Conversion or Exercise Price of Derivative Security
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3. Trans. Date
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3A. Deemed Execution Date, if any
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4. Trans. Code (Instr. 8)
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5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)
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6. Date Exercisable and Expiration Date
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7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4)
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8. Price of Derivative Security (Instr. 5)
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9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)
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10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)
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11. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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(A)
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(D)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Stock Options (right to buy)
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$59.82
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9/12/2019
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M
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1653
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(3)
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5/10/2025
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Common Stock
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1653.0
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$0
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0
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D
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Stock Options (right to buy)
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$52.87
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9/12/2019
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M
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1326
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(4)
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5/6/2024
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Common Stock
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1326.0
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$0
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0
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D
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Stock Options (right to buy)
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$62.03
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9/12/2019
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M
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1023
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(5)
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4/24/2022
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Common Stock
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1023.0
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$0
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0
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D
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Stock Options (right to buy)
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$61.72
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9/12/2019
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M
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679
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(6)
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4/25/2021
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Common Stock
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679.0
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$0
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0
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D
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Explanation of Responses:
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(1)
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The conversion of stock options reported on this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on August 20, 2019.
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(2)
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The sales of common stock reported on this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on August 20, 2019.
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(3)
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These stock options vested in four equal installments on the following dates: July 31, 2015, October 31, 2015, January 31, 2016 and April 30, 2016.
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(4)
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These stock options vested in four equal installments on the following dates: July 31, 2014, October 31, 2014, January 31, 2015 and April 30, 2015.
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(5)
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These stock options vested in four equal installments on the following dates: July 31, 2012, October 31, 2012, January 31, 2013 and April 30, 2013.
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(6)
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These stock options vested in four equal installments on the following dates: July 31, 2011, October 31, 2011, January 31, 2012 and April 30, 2012.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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HEIL JOHN C/O TEMPUR SEALY INTERNATIONAL, INC. 1000 TEMPUR WAY LEXINGTON, KY 40511
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X
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Signatures
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/s/ Bhaskar Rao, Attorney in Fact
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9/16/2019
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**Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person, see Instruction 4(b)(v).
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**
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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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 control number.
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