SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
Edwards Darrell Dewain

(Last) (First) (Middle)
1284 N. TELEGRAPH ROAD

(Street)
MONROE MI 48162

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
08/20/2014
3. Issuer Name and Ticker or Trading Symbol
LA-Z-BOY INC [ LZB ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Senior Vice President
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Shares 13,917 D
Common Shares 219 I by 401(k)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Options (right to buy) 07/14/2011(1) 07/14/2020 Common Shares 3,893 $7.75 D
Stock Options (right to buy) 07/13/2012(1) 07/13/2021 Common Shares 14,820 $9.35 D
Stock Options (right to buy) 06/16/2015(1) 06/16/2024 Common Shares 17,943 $23.63 D
Stock Appreciation Rights 07/11/2013(2) 07/11/2022 Common Shares 12,122 $11.97 D
Stock Appreciation Rights 06/17/2014(2) 06/17/2023 Common Shares 11,994 $19.06 D
Restricted Stock Units(3) (4) (4) Common Shares 4,997 $0 D
Explanation of Responses:
1. These options were granted under the La-Z-Boy Incorporated 2010 Omnibus Incentive Plan and become exercisable in four equal annual installments beginning on the date shown in the Date Exercisable column.
2. These stock appreciation rights were granted under the La-Z-Boy Incorporated 2010 Omnibus Incentive Plan and become exercisable in four equal annual installments beginning on the date shown in the Date Exercisable column.
3. Payable in cash.
4. These restricted stock units were granted under the La-Z-Boy Incorporated 2010 Omnibus Incentive Plan and will settle upon approval by the Compensation Committee following the performance cycle ending in April 2015.
Remarks:
James P. Klarr, Attorney in fact 08/29/2014
** 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.