SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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*
Barra Melissa

(Last) (First) (Middle)
9800 59TH AVENUE NORTH

(Street)
MINNEAPOLIS MN 55442

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
01/13/2015
3. Issuer Name and Ticker or Trading Symbol
SELECT COMFORT CORP [ SCSS ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
SVP, Chief Strategy & CRO
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 5,800(1) D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Employee Stock Option (Right to Buy) (2) 02/18/2023 Common Stock 6,300 $21.28 D
Employee Stock Option (Right to Buy) (3) 03/28/2024 Common Stock 4,860 $17.77 D
Restricted Stock Unit (Performance-based) (4) 03/28/2017 Common Stock 11,505 $0 D
Explanation of Responses:
1. Includes 3,400 shares pursuant to a restricted stock award.
2. This option becomes exercisable with respect to 25% of the shares on each of 2/18/14, 2/18/15, 2/18/16 and 2/18/17.
3. This option becomes exercisable with respect to 1/3rd of the shares on each of 3/28/15, 3/28/16 and 3/28/17.
4. Each performance right represents a contingent right to receive one share of Select Comfort common stock. Vesting of the performance rights will occur only at the end of three years and only if the stock price of Select Comfort's common stock remains at or above a specified level for at least 20 consecutive trading days.
/s/ Melissa Barra, by Rebecca Long, attorney-in-fact 01/15/2015
** 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 5 (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.
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