0001206264-23-000080.txt : 20230323 0001206264-23-000080.hdr.sgml : 20230323 20230323161042 ACCESSION NUMBER: 0001206264-23-000080 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230321 FILED AS OF DATE: 20230323 DATE AS OF CHANGE: 20230323 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Dilsaver Evelyn S CENTRAL INDEX KEY: 0001391387 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-31922 FILM NUMBER: 23756302 MAIL ADDRESS: STREET 1: C/O LONGS DRUG STORES CORPORATION STREET 2: 141 NORTH CIVIC DRIVE CITY: WALNUT CREEK STATE: CA ZIP: 94596 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 1 wf-form4_167960222999440.xml FORM 4 X0407 4 2023-03-21 0 0001206264 TEMPUR SEALY INTERNATIONAL, INC. TPX 0001391387 Dilsaver Evelyn S C/O TEMPUR SEALY INTERNATIONAL, INC. 1000 TEMPUR WAY LEXINGTON KY 40511 1 0 0 0 0 Common Stock 2023-03-21 4 M 0 10212 10.82 A 142781 D Common Stock 2023-03-21 4 F 0 2859 38.65 D 139922 D Stock Options (right to buy) 10.82 2023-03-21 4 M 0 10212 0 D 2023-05-21 Common Stock 10212.0 0 D Represents the number of shares of common stock that have been withheld to cover the exercise price of the stock options in connection with the net settlement of the stock options. The option was previously reported as covering 2,553 shares at an exercise price of $43.28 per share, vesting in four quarterly installments on July 31, 2013, October 31, 2013, January 31, 2014 and April 30, 2014. The option and exercise price have been adjusted to reflect the 4-for-1 stock split, which occurred on November 24, 2020. /s/ Bhaskar Rao, Attorney-in-Fact 2023-03-23