Specialized Disclosure Report (sd)
28 May 2022 - 06:21AM
Edgar (US Regulatory)
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM SD
Specialized Disclosure Report
LA-Z-BOY INCORPORATED
(Exact name of registrant as specified in its charter)
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MICHIGAN |
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1-9656 |
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38-0751137 |
(State or other jurisdiction of |
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(Commission |
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(IRS Employer |
incorporation) |
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File Number) |
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Identification Number) |
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One La-Z-Boy Drive, Monroe, Michigan |
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48162-5138 |
(Address of principal executive offices) |
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Zip Code |
Raphael Richmond (734) 244-0840
(Name and telephone number, including area code, of the person to
contact in connection with
this report.)
Check the appropriate box to indicate the rule pursuant to
which this form is being filed, and provide the period to which the
information in this form applies:
x
Rule 13p-1 under the Securities Exchange Act (17 CFR
240.13p-1) for the reporting period from January 1 to
December 31, 2021.
Section 1 - Conflict Minerals Disclosure
Item 1.01 Conflict Minerals Disclosure and Report
This Specialized Disclosure Report on Form SD (“Form SD”) of
La-Z-Boy Incorporated (“La-Z-Boy”) is presented to comply with Rule
13p-1 under the Securities Exchange Act of 1934, as amended,
(“Rule”) for the reporting period January 1, 2021 to December 31,
2021. The Rule was adopted by the Securities and Exchange
Commission (“SEC”) to implement reporting and disclosure
requirements related to “conflict minerals” as directed by the
Dodd-Frank Wall Street Reform and Consumer Protection Act of 2010
(“Dodd-Frank Act”). Conflict minerals are defined by the SEC as
columbite-tantalite (coltan), cassiterite, gold, wolframite,
including their derivatives, which are limited to tantalum, tin,
and tungsten (“3TG”). The Rule imposes certain reporting
obligations on SEC registrants whose products contain conflict
minerals that are necessary to the functionality or production of
their products. For products which contain necessary conflict
minerals, the registrant must conduct in good faith a reasonable
country of origin inquiry designed to determine whether any of the
conflict minerals originated in the Democratic Republic of the
Congo (“DRC”) or “adjoining country” (as defined in Section 1502 of
the Dodd-Frank Act), collectively defined as the “Covered
Countries.” If, based on such inquiry, the registrant knows or has
reason to believe that any of the necessary conflict minerals
contained in its products originated or may have originated in a
Covered Country and knows or has reason to believe that those
necessary conflict minerals may not be solely from recycled or
scrap sources, the registrant must conduct due diligence as a
method to conclude if the necessary conflict minerals contained in
those products did or did not directly or indirectly finance or
benefit armed groups in the Covered Countries. These requirements
apply to registrants whatever the geographic origin of the conflict
minerals and whether or not they fund armed conflict.
After performing a reasonable country of origin inquiry as required
by the Rule, La-Z-Boy was unable to determine in good faith whether
3TGs used during calendar year 2021 in one or more of our products
was solely from recycled or scrap sources or originated from a
Covered Country. As a result, La-Z-Boy is filing a Conflict
Minerals Report as Exhibit 1.01 to this Form SD.
Conflict Minerals Disclosure.
This Form SD and La-Z-Boy’s Conflict Minerals Report, filed as
Exhibit 1.01, are publicly available through links on our internet
website, www.la-z-boy.com, as soon as reasonably practicable after
they are electronically filed with the SEC’s EDGAR database at
www.sec.gov. However, information contained on our internet website
is not incorporated by reference into this Form SD or otherwise
considered to be a part of this document.
Item 1.02 EXHIBIT
The Conflict Minerals Report required by Item 1.01 is filed as
Exhibit 1.01 to this Form SD.
Section 3 - EXHIBITS
Item 3.01 EXHIBIT
Exhibit 1.01 - Conflict Minerals Report as required by Items
1.01 and 1.02 of this Form SD.
SIGNATURE
Pursuant to the requirements of the Securities Exchange Act of
1934, the registrant has duly caused this report to be signed on
its behalf by the duly authorized undersigned.
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LA-Z-BOY INCORPORATED |
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(Registrant) |
Date: May 27, 2022 |
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BY: |
/s/ Robert G. Lucian |
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Robert G. Lucian |
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Senior Vice President and Chief Financial Officer |
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