-----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, GAsB/Voq8PiQF3GUznpCfAvmKR5flEoH6cryk6tI/uVLHNV2YUwdByvXlgr/DUjT E0o/XCPDaHgWpSPhg49J7w== 0001246017-04-000020.txt : 20040812 0001246017-04-000020.hdr.sgml : 20040812 20040812202758 ACCESSION NUMBER: 0001246017-04-000020 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040810 FILED AS OF DATE: 20040812 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: 0430 BUSINESS ADDRESS: STREET 1: 1284 N TELEGRAPH RD CITY: MONROE STATE: MI ZIP: 48162 BUSINESS PHONE: 7342414414 MAIL ADDRESS: STREET 1: 1284 N TELEGRAPH RD CITY: MONROE STATE: MI ZIP: 48162 FORMER COMPANY: FORMER CONFORMED NAME: LA Z BOY CHAIR CO DATE OF NAME CHANGE: 19920703 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: RISLEY DAVID M CENTRAL INDEX KEY: 0001254906 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09656 FILM NUMBER: 04971711 BUSINESS ADDRESS: STREET 1: 1284 N. TELEGRAPH ROAD CITY: MONROE STATE: MI ZIP: 48162 BUSINESS PHONE: 7342413351 MAIL ADDRESS: STREET 1: 2710 DERBY RD. CITY: TOLEDO STATE: OH ZIP: 43515 4 1 edgar.xml PRIMARY DOCUMENT X0202 4 2004-08-10 0000057131 LA-Z-BOY INC LZB 0001254906 RISLEY DAVID M 1284 N. TELEGRAPH ROAD MONROE MI 48162 0 1 0 0 Sr. VP and CFO Common Shares 2004-08-10 4 A 0 5500 0 A 9581 D Common Shares 6 I by ESOP Common Shares 159 I by 401(k) Stock Option (Right to Buy) 16.66 2004-08-10 4 J 0 20100 16.66 A 2005-08-10 2009-08-10 Common Shares 20100 20100 D These were granted under the 2004 Long-Term Equity Award Plan James P. Klarr, Attorney-in-Fact for David M. Risley 2004-08-12 -----END PRIVACY-ENHANCED MESSAGE-----