Statement of Changes in Beneficial Ownership (4)
April 26 2017 - 3:05PM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0287
Estimated average burden
hours per response...
0.5
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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
*
Ibach Shelly Radue
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2. Issuer Name
and
Ticker or Trading Symbol
SELECT COMFORT CORP
[
SCSS
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__
X
__ Director
_____ 10% Owner
__
X
__ Officer (give title below)
_____ Other (specify below)
President and CEO
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(Last)
(First)
(Middle)
9800 59TH AVENUE NORTH
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3. Date of Earliest Transaction
(MM/DD/YYYY)
4/24/2017
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(Street)
MINNEAPOLIS, MN 55442
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_
X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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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)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code
(Instr. 8)
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4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Common Stock
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4/24/2017
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S
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65844
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D
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$31.25
(1)
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73056
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I
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by Family Trust
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Common Stock
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4/25/2017
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M
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14000
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A
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$10.63
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14000
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D
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Common Stock
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4/25/2017
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S
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14000
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D
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$30.575
(2)
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0
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D
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Common Stock
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15551.7173
(3)
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I
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by 401(k)
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Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 3)
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2. Conversion or Exercise Price of Derivative Security
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3. Trans. Date
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3A. Deemed Execution Date, if any
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4. Trans. Code
(Instr. 8)
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5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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6. Date Exercisable and Expiration Date
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7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4)
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8. Price of Derivative Security
(Instr. 5)
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9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)
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10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)
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11. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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(A)
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(D)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Employee Stock Option (Right to Buy)
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$10.63
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4/25/2017
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M
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14000
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(4)
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11/27/2017
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Common Stock
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14000
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$0
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0
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D
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Explanation of Responses:
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(1)
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The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices between $31.00 and $31.49, inclusive. The reporting person will provide the SEC Staff, Select Comfort or any security holder of Select Comfort, upon request, full information regarding the number of shares sold at each separate price.
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(2)
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The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices between $30.55 and $30.60, inclusive. The reporting person will provide the SEC Staff, Select Comfort or any security holder of Select Comfort, upon request, full information regarding the number of shares sold at each separate price.
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(3)
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Due to a software reporting issue, the previously reported 401k balance was overstated. The above reported balance is the correct balance in the reporting person's 401k account and there has been no activity within this acccount.
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(4)
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This option became fully exercisable on 11/27/11.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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Ibach Shelly Radue
9800 59TH AVENUE NORTH
MINNEAPOLIS, MN 55442
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X
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President and CEO
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Signatures
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/s/ Shelly Radue Ibach, by Rebecca Long, attorney-in-fact
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4/26/2017
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 4(b)(v).
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**
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Note:
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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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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 control number.
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