SEC Filing | Tempur Sealy International, Inc.

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SEC FORM 3 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^*

Wijnand Hansbart

(Last)

(First)

(Middle)

C/O TEMPUR SEALY INTERNATIONAL, INC.

1000 TEMPUR WAY

(Street)

LEXINGTON

40511

(City)

(State)

(Zip)

2. Date of Event Requiring Statement (Month/Day/Year)
01/01/2022

3. Issuer Name and Ticker or Trading Symbol
TEMPUR SEALY INTERNATIONAL, INC. [ TPX ]

4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

	Director	10% Owner
X	Officer (give title below)	Other (specify below)
EVP, INTERNATIONAL

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)

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)
1. Title of Derivative Security (Instr. 4)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares	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)
Restricted Stock Units	⁽¹⁾	⁽¹⁾	Common Stock	2,120	0.0	D
Restricted Stock Units	⁽²⁾	⁽²⁾	Common Stock	23,688	0.0	D
Performance Restricted Stock Units	⁽³⁾	⁽³⁾	Common Stock	42,072	0.0	D
Restricted Stock Units	⁽⁴⁾	⁽⁴⁾	Common Stock	5,256	0.0	D
Restricted Stock Units	⁽⁵⁾	⁽⁵⁾	Common Stock	16,062	0.0	D

Explanation of Responses:

1. On January 5, 2018, the reporting person was granted 8,488 restricted stock units (RSUs). Pursuant to the award agreement, two installments of 2,124 RSUs and one installment of 2,120 RSUs vested and were distributed to the reporting person on January 5, 2019, 2020 and 2021, respectively. The remaining installment of 2,120 RSUs vest on January 5, 2022. The RSUs have been adjusted to reflect the 4-for-1 stock split, which occurred on November 24, 2020.

2. On January 4, 2019, the reporting person was granted 47,384 restricted stock units (RSUs). Pursuant to the award agreement, two equal installments of 11,848 RSUs vested and were distributed to the reporting person on January 4, 2020 and 2021, respectively. The remaining two equal installments of 11,844 RSUs vest on January 4, 2022 and 2023, respectively. The RSUs have been adjusted to reflect the 4-for-1 stock split, which occurred on November 24, 2020.

3. On February 4, 2021, the Compensation Committee of the Board of Directors determined that the maximum performance condition for the performance restricted stock units (PRSUs) granted on January 3, 2020 was achieved. The PRSUs vest in approximately three equal installments on January 3, 2022, 2023 and 2024 and have been adjusted to reflect the 4-for-1 stock split, which occurred on November 24, 2020.

4. On January 3, 2020, the reporting person was granted 7,012 restricted stock units (RSUs). Pursuant to the award agreement, one installment of 1,756 RSUs vested and were distributed to the reporting person on January 3, 2021. The remaining three installments of 1,752 RSUs each vest on January 3, 2022, 2023 and 2024, respectively. The RSUs have been adjusted to reflect the 4-for-1 stock split, which occurred on November 24, 2020.

5. On January 4, 2021, the reporting person was granted 16,062 restricted stock units, vesting in approximately four equal annual installments beginning on the first anniversary of the grant date.

Remarks:

	/s/ Bhaskar Rao, Attorney-in-Fact	01/05/2022
	** 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.
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.