1. Name and Address of Reporting Person*
| C/O KOHLBERG KRAVIS ROBERTS & CO. L.P., 9 WEST 57TH STREET, SUITE 4200 | |
(Street)
| 2. Date of Event Requiring Statement (Month/Day/Year) 10/01/2009 | 3. Issuer Name and Ticker or Trading Symbol SEALY CORP
[ZZ]
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable) | Director | X | 10% Owner | | Officer (give title below) | | Other (specify below) | |
| 5. If Amendment, Date of Original Filed (Month/Day/Year)
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6. Individual or Joint/Group Filing (Check Applicable Line)
| Form filed by One Reporting Person | | X | Form filed by More than One Reporting Person |
|
| /s/ William J. Janetschek, KKR Fund Holdings L.P.(7) | 10/13/2009 |
| ** Signature of Reporting Person | Date |
| /s/ William J. Janetschek, KKR Fund Holdings GP Limited (8) | 10/13/2009 |
| ** Signature of Reporting Person | Date |
| /s/ William J. Janetschek, KKR Group Holdings L.P. (9) | 10/13/2009 |
| ** Signature of Reporting Person | Date |
| /s/ William J. Janetschek, KKR Group Limited (10) | 10/13/2009 |
| ** Signature of Reporting Person | Date |
| /s/ William J. Janetschek, KKR & Co. L.P. (11) | 10/13/2009 |
| ** Signature of Reporting Person | Date |
| /s/ William J. Janetschek, KKR & Co. L.P. (12) | 10/13/2009 |
| ** Signature of Reporting Person | Date |
| /s/ William J. Janetschek, KKR Management LLC (13) | 10/13/2009 |
| ** Signature of Reporting Person | Date |
| /s/ William J. Janetschek, KKR Management LLC (14) | 10/13/2009 |
| ** 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. |
Exhibit 24.1
POWER OF ATTORNEY
Know
all men by these presents that George R. Roberts does hereby make, constitute
and appoint William J. Janetschek and Richard J. Kreider, or either one of
them, as a true and lawful attorney-in-fact of the undersigned with
full powers of substitution and revocation, for and in the name, place and
stead of the undersigned (both in the undersigneds individual capacity and as
a member of any limited liability company or as a partner of any partnership
for which the undersigned is otherwise authorized to sign), to execute and
deliver such forms as may be required to be filed from time to time with the
Securities and Exchange Commission with respect to: (i) Sections 13(d) and 16(a) of
the Securities Exchange Act of 1934, as amended (the Act), including without
limitation, Schedule 13D, Schedule 13G, statements on Form 3, Form 4
and Form 5 and (ii) in connection with any applications for EDGAR
access codes, including without limitation the Form ID.
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/s/
George R. Roberts
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Name:
George R. Roberts
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Date:
July 31, 2005
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