SEC Form 4
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
OMB APPROVAL
OMB Number: 3235-0287
Estimated average burden
hours per response: 0.5
  
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*
Bloomquist Andrea Lee

(Last) (First) (Middle)
1001 THIRD AVENUE SOUTH

(Street)
MINNEAPOLIS MN 55404

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Sleep Number Corp [ SNBR ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
SVP, Chief Product Officer
3. Date of Earliest Transaction (Month/Day/Year)
11/20/2020
4. 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 Acquired, Disposed of, or Beneficially Owned
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 11/20/2020 M 3,867 A $23.61 67,970 D
Common Stock 11/20/2020 M 2,555 A $34.35 70,525 D
Common Stock 11/20/2020 M 2,174 A $47 72,699 D
Common Stock 11/20/2020 F 5,507(1) D $68.75 67,192(2) D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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
Employee Stock Option (Right to Buy) $23.61 11/20/2020 M 3,867 03/21/2018(3) 03/21/2027 Common Stock 3,867 $0 0 D
Employee Stock Option (Right to Buy) $34.35 11/20/2020 M 2,555 03/21/2019(4) 03/21/2028 Common Stock 2,555 $0 2,555 D
Employee Stock Option (Right to Buy) $47 11/20/2020 M 2,174 03/29/2020(5) 03/29/2029 Common Stock 2,174 $0 4,346 D
Explanation of Responses:
1. These shares were withheld from the option exercises to cover the exercise price and estimated tax withholding obligation.
2. Includes 345 shares pursuant to a restricted stock unit award.
3. This option became exercisable with respect to 1/3rd of the shares on each of 3/21/18, 3/21/19 and 3/21/20.
4. This option becomes exercisable with respect to 1/3rd of the shares on each of 3/21/19, 3/21/20 and 3/21/21.
5. This option becomes exercisable with respect to 1/3rd of the shares on each of 3/29/20, 3/29/21 and 3/29/22.
/s/ Andrea L. Bloomquist, by Rebecca L. Long, attorney-in-fact 11/24/2020
** 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.