0000057131-17-000002.txt : 20171212 0000057131-17-000002.hdr.sgml : 20171212 20171212171347 ACCESSION NUMBER: 0000057131-17-000002 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171208 FILED AS OF DATE: 20171212 DATE AS OF CHANGE: 20171212 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DARROW KURT L CENTRAL INDEX KEY: 0001263270 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09656 FILM NUMBER: 171252448 MAIL ADDRESS: STREET 1: ONE LA-Z-BOY DRIVE CITY: MONROE STATE: MI ZIP: 48162 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: LA-Z-BOY INC CENTRAL INDEX KEY: 0000057131 STANDARD INDUSTRIAL CLASSIFICATION: HOUSEHOLD FURNITURE [2510] IRS NUMBER: 380751137 STATE OF INCORPORATION: MI FISCAL YEAR END: 0425 BUSINESS ADDRESS: STREET 1: ONE LA-Z-BOY DRIVE CITY: MONROE STATE: MI ZIP: 48162 BUSINESS PHONE: 7342421444 MAIL ADDRESS: STREET 1: ONE LA-Z-BOY DRIVE CITY: MONROE STATE: MI ZIP: 48162 FORMER COMPANY: FORMER CONFORMED NAME: LA Z BOY CHAIR CO DATE OF NAME CHANGE: 19920703 4 1 edgar.xml PRIMARY DOCUMENT X0306 4 2017-12-08 0000057131 LA-Z-BOY INC LZB 0001263270 DARROW KURT L ONE LA-Z-BOY DRIVE MONROE MI 48162 1 1 0 0 Chairman, President & CEO Common Shares 2017-12-08 5 G 0 31000 0 D 500773 D Common Shares 2753 I by 401k Common Shares 31000 I by Charitable Lead Trust The reporting person is the trustee of the trust and holds a remainder interest in the trust. The reporting person disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest therein. R. Rand Tucker, Attorney in fact 2017-12-12