-----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, TqjzgZsTGxH8F0c3BsNiSyP8XgQSPqNg3yNlAFIRSXdvks8IlorMd517G9CId3d6 R6voSksFskxMJ96NhysoNA== 0001310524-09-000056.txt : 20090903 0001310524-09-000056.hdr.sgml : 20090903 20090903101049 ACCESSION NUMBER: 0001310524-09-000056 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090901 FILED AS OF DATE: 20090903 DATE AS OF CHANGE: 20090903 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FOSS JOHN H CENTRAL INDEX KEY: 0001246037 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09656 FILM NUMBER: 091052426 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: 1284 N TELEGRAPH RD CITY: MONROE STATE: MI ZIP: 48162 BUSINESS PHONE: 7342421444 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 X0303 4 2009-09-01 0000057131 LA-Z-BOY INC LZB 0001246037 FOSS JOHN H 1284 N. TELEGRAPH ROAD MONROE MI 48162 1 0 0 0 Phantom Stock Units 2009-09-01 4 A 0 7927 0 A Common Shares 7927 16514 D These phantom stock units were granted under the Deferred Stock Unit Plan for Non-Employee Directors, and each phantom stock unit is the economic equivalent of one share of LZB common stock. The phantom stock units will be settled in cash following the reporting person's cessation as a director. James P. Klarr, Attorney-in-Fact 2009-09-03 -----END PRIVACY-ENHANCED MESSAGE-----