-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, BFptq/lb7LtU4tRGGmt8NW0NDslnxnRnxWLfqMZK+aIVSkqnDCSkwP67K9vM1tfw cJswAQzFI7bnAa3rGl//vw== 0001235802-04-000001.txt : 20040106 0001235802-04-000001.hdr.sgml : 20040106 20040106154804 ACCESSION NUMBER: 0001235802-04-000001 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040102 FILED AS OF DATE: 20040106 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: SELECT COMFORT CORP CENTRAL INDEX KEY: 0000827187 STANDARD INDUSTRIAL CLASSIFICATION: HOUSEHOLD FURNITURE [2510] IRS NUMBER: 410157886 STATE OF INCORPORATION: MN FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 6105 TRENTON LANE NORTH CITY: MINNEAPOLIS STATE: MN ZIP: 55442 BUSINESS PHONE: 7635517000 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KOLLAT DAVID T CENTRAL INDEX KEY: 0001015790 STANDARD INDUSTRIAL CLASSIFICATION: FOOTWEAR, (NO RUBBER) [3140] STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-25121 FILM NUMBER: 04510103 BUSINESS ADDRESS: STREET 1: C/O 22, INC. STREET 2: 4410 SMOTHERS ROAD CITY: WESTERVILLE STATE: OH ZIP: 43081 BUSINESS PHONE: 6145230041 MAIL ADDRESS: STREET 1: 9341 COURTLAND DR CITY: ROCKFORD STATE: MI ZIP: 49351 4 1 primary_doc.xml PRIMARY DOCUMENT X0201 4 2004-01-02 0 0000827187 SELECT COMFORT CORP SCSS 0001015790 KOLLAT DAVID T 9341 COURTLAND DR ROCKFORD MI 49351 1 0 0 0 Common Stock 2004-01-02 4 M 0 15000 0.75 A 45095 D Common Stock 2004-01-02 4 M 0 10000 1 A 55095 D Stock option (right to buy) 0.75 2004-01-02 4 M 0 15000 0.75 D 2004-02-17 Common Stock 15000 0 D Stock Option (right to buy) 1 2004-01-02 4 M 0 10000 1 D 2004-09-07 Common Stock 10000 0 D Stock Option (right to buy) 14.77 2003-05-14 4 A 0 10000 14.77 A 2013-05-13 Common Stock 10000 10000 D Immediately. Immediately. This option vests with respect to 3,334 shares on 5/14/04 and 3,333 on each of 5/14/05 and 5/14/06. /s/ David T. Kollat, by Mark Kimball, attorney-in-fact 2004-01-05 -----END PRIVACY-ENHANCED MESSAGE-----