Initial Statement of Beneficial Ownership (3)
06 May 2021 - 09:20AM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE
COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP
OF SECURITIES
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OMB
APPROVAL
OMB Number: 3235-0104
Estimated average burden
hours per response... 0.5 |
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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 * Lucian
Robert Gerard |
2. Date of Event Requiring Statement
(MM/DD/YYYY)
4/25/2021
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3. Issuer Name and Ticker or Trading
Symbol LA-Z-BOY INC [LZB] |
(Last)
(First)
(Middle)
ONE LA-Z-BOY DRIVE |
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)_____
Director _____
10% Owner
___X___ Officer (give title
below) _____
Other (specify below)
Sr. Vice President & CFO / |
(Street)
MONROE, MI 48162
(City)
(State)
(Zip)
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5. If Amendment, Date Original
Filed(MM/DD/YYYY)
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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
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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 |
6585 |
D |
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Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible
securities)
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1. Title of Derivate Security
(Instr. 4) |
2. Date Exercisable and Expiration Date
(MM/DD/YYYY) |
3. Title and Amount of Securities Underlying
Derivative Security
(Instr. 4) |
4. Conversion or Exercise Price of Derivative
Security |
5. Ownership Form of Derivative Security: 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 |
Employee Stock Options (right to buy) |
6/17/2020 (1) |
6/17/2029 |
Common Shares |
5516.0 |
$30.24 |
D |
|
Employee Stock Options (right to buy) |
6/22/2021 (1) |
6/22/2030 |
Common Shares |
4354.0 |
$27.54 |
D |
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Explanation of
Responses: |
(1) |
These options were granted
under the La-Z-Boy Incorporated 2017 Omnibus Incentive Plan and
become exercisable in four equal installments beginning on the date
shown in the Date Exercisable Column. |
Reporting
Owners
|
Reporting Owner Name / Address |
Relationships
|
Director |
10% Owner |
Officer |
Other |
Lucian Robert Gerard
ONE LA-Z-BOY DRIVE
MONROE, MI 48162 |
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|
Sr. Vice President & CFO |
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Signatures
|
Uzma Ahmad, Attorney-in-Fact |
|
5/5/2021 |
**Signature of
Reporting Person |
Date |
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