0001206264-21-000221.txt : 20210916 0001206264-21-000221.hdr.sgml : 20210916 20210916160444 ACCESSION NUMBER: 0001206264-21-000221 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190905 FILED AS OF DATE: 20210916 DATE AS OF CHANGE: 20210916 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BUSTER H CLIFFORD III CENTRAL INDEX KEY: 0001448352 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-31922 FILM NUMBER: 211257986 MAIL ADDRESS: STREET 1: 1000 TEMPUR WAY CITY: LEXINGTON STATE: KY ZIP: 74135 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: TEMPUR SEALY INTERNATIONAL, INC. CENTRAL INDEX KEY: 0001206264 STANDARD INDUSTRIAL CLASSIFICATION: HOUSEHOLD FURNITURE [2510] IRS NUMBER: 331022198 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1000 TEMPUR WAY CITY: LEXINGTON STATE: KY ZIP: 40511 BUSINESS PHONE: 800-878-8889 MAIL ADDRESS: STREET 1: 1000 TEMPUR WAY CITY: LEXINGTON STATE: KY ZIP: 40511 FORMER COMPANY: FORMER CONFORMED NAME: TEMPUR PEDIC INTERNATIONAL INC DATE OF NAME CHANGE: 20031202 FORMER COMPANY: FORMER CONFORMED NAME: TWI HOLDINGS INC DATE OF NAME CHANGE: 20021119 4/A 1 wf-form4a_163182267036790.xml FORM 4/A X0306 4/A 2019-09-05 2019-09-09 0 0001206264 TEMPUR SEALY INTERNATIONAL, INC. TPX 0001448352 BUSTER H CLIFFORD III C/O TEMPUR SEALY INTERNATIONAL, INC. 1000 TEMPUR WAY LEXINGTON KY 40511 0 1 0 0 CEO, North America Common Stock 2019-09-05 4 M 0 3989 0 A 31392 D On September 9, 2019, the reporting person filed a Form 4, which inadvertently reported the vesting of 2,991 restricted stock units instead of the vesting of 3,989 restricted stock units. As a result of this error, the Form 4 incorrectly reported that the reporting person held 998 fewer shares of common stock. The additional 998 shares were adjusted to 3,992 shares of common stock to reflect the 4-for-1 stock split, which occurred on November 24, 2020. As of this filing date, the reporting person holds 153,059 shares directly. /s/ Bhaskar Rao, Attorney-in-Fact 2021-09-16