-----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, DQelXQ6mAQIIhYP6D6Aeae/JAYiWAHGcJEv7WS7JxSwZliiP5Pc0RKZAHQbjQo2t A66+Lr0EOh8hqL4GmfvOhg== 0001246017-04-000028.txt : 20040901 0001246017-04-000028.hdr.sgml : 20040901 20040901181629 ACCESSION NUMBER: 0001246017-04-000028 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040831 FILED AS OF DATE: 20040901 DATE AS OF CHANGE: 20040901 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PETRAUSKAS HELEN O CENTRAL INDEX KEY: 0001246400 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09656 FILM NUMBER: 041012007 MAIL ADDRESS: STREET 1: 11555 ELY ROAD CITY: DAVISBURG STATE: MI ZIP: 48350 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 4 1 edgar.xml PRIMARY DOCUMENT X0202 4 2004-08-31 0000057131 LA-Z-BOY INC LZB 0001246400 PETRAUSKAS HELEN O 1284 N. TELEGRAPH ROAD MONROE MI 48162 1 0 0 0 Common Shares 2004-08-31 4 M 0 2000 4.165 A 9700 D Stock Option (Right to Buy) 4.165 2004-08-31 4 M 0 2000 4.165 D 2004-08-10 2004-09-10 Common Shares 2000 0 D James P. Klarr, Attorney-in-Fact for Helen O. Petrauskas 2004-09-01 -----END PRIVACY-ENHANCED MESSAGE-----