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
TEMPUR PEDIC INTERNATIONAL INC [ TPX ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 12/06/2004 | ||||||||||||||||||||||||||
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 | ||||||
Common Stock | 12/06/2004 | S | 477,026 | D | $18.96 | 16,529,385 | D(1) | |||
Common Stock | 12/06/2004 | S | 8,629 | D | $18.96 | 299,018 | D(1) |
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 |
1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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Explanation of Responses: |
1. See "Notes to Footnote 1" in Exhibit 99.2. |
Remarks: |
(1) This Form 4 is also being filed on behalf of each of Tully M. Friedman and Christopher A. Masto, each of whom is a director of the Issuer. (2) Mr. Masto is Managing Member of Friedman Fleischer & Lowe GP, LLC, General Partner of Friedman Fleischer & Lowe Capital Partners, LP. |
/s/ Christopher A. Masto (see general remarks (2)) | 12/06/2004 | |
** 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. |
Exhibit 99.1
JOINT FILER INFORMATIONThis statement on Form 4 is filed by Friedman Fleischer & Lowe Capital Partners,
LP, FFL Executive Partners, LP, Tully M. Friedman and Christopher A. Masto.Name: FFL Executive Partners, LP
Address: & nbsp; c/o Friedman Fleischer & Lowe
One Maritime Plaza, 10th Floor
San Francisco, CA 94111Designated Filer: Friedman Fleischer & Lowe Capital Partners, LP
Issuer & Ticker Symbol: Tempur-Pedic International Inc. [TPX]
Date of Earliest Transaction Required to be Reported: December 6, 2004
FFL EXECUTIVE PARTNERS, LPBy:/s/Christopher A. Masto
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Name: Christopher A. Masto
Title: Managing Member
Freidman Fleischer & Lowe GP, LLC
General PartnerName: Tully M. Friedman
Address: c/o Friedman Fleischer & Lowe
One Maritime Plaza, 10th Floor
San Fra ncisco, CA 94111Designated Filer: Friedman Fleischer & Lowe Capital Partners, LP
Issuer & Ticker Symbol: Tempur-Pedic International Inc. [TPX]
Date of Earliest Transaction Required to be Reported: December 6, 2004
/s/ Tully M. Friedman
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Tully M. FriedmanPage 3 of 5
Name: Christopher A. MastoAddress: c/o Friedman Fleischer & Lowe
&nbs p; One Maritime Plaza, 10th Floor
San Francisco, CA 94111Designated Filer: Friedman Fleischer & Lowe Capital Partners, LP
Issuer & Ticker Symbol: Tempur-Pedic International Inc. [TPX]
Date of Earliest Transaction Required to be Reported: December 6, 2004
/s/ Christopher A. Masto
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Christopher A. MastoPage 4 of 5
&nbs p; Exhibit 99.2
Notes to Footnote 1:The shares of Common Stock ("Common Stock") described in this Form 4 are held by
Friedman Fleischer & Lowe Capital Partners, LP and FFL Executive Partners, LP
(collectively, the "Friedman Fleischer & Lowe Funds") in the amounts set forth
below. An allocation of shares is listed below for each transaction described
herein. The Friedman Fleischer & Lowe Funds are each controlled by Friedman
Fleischer & Lowe GP, LLC, their general partner. Accordingly, Friedman Fleischer
& Lowe Capital Partners, LP and FFL Executive Partners, LP may be deemed to
beneficially own each other's shares of Common Stock. Tully M. Friedman and
Christopher A. Masto are, respectively, Senior Managing Member and Managing
Member of Friedman Fleischer & Lowe GP, LLC, and may be deemed to beneficially
own the shares of Common Stock owned by the Friedman Fleisc her & Lowe Funds. The
reporting persons disclaim beneficial ownership of any shares in which they do
not have a pecuniary interest.Holder Shares of Common Shares of Common Stock
Stock Sold, 12/6/04 Directly Owned Following
Sale
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Friedman Fleischer & Lowe 477,026 16,529,385
Capital Partners, LPFFL Executive Partners, LP 8,629 299,018
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