-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: keymaster@town.hall.org Originator-Key-Asymmetric: MFkwCgYEVQgBAQICAgADSwAwSAJBALeWW4xDV4i7+b6+UyPn5RtObb1cJ7VkACDq pKb9/DClgTKIm08lCfoilvi9Wl4SODbR1+1waHhiGmeZO8OdgLUCAwEAAQ== MIC-Info: RSA-MD5,RSA, m+fFyujgGOr3sI+fdf7V5coCW/8AekHUA7yhl3d5Saslt4uUP/i6FpjdE+D9IU/D ccfoLTBZuEn/ddaS3irNCQ== 0000950152-95-000178.txt : 19950215 0000950152-95-000178.hdr.sgml : 19950215 ACCESSION NUMBER: 0000950152-95-000178 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19950214 SROS: NASD SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: INVACARE CORP CENTRAL INDEX KEY: 0000742112 STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842] IRS NUMBER: 952680965 STATE OF INCORPORATION: OH FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-35958 FILM NUMBER: 95510109 BUSINESS ADDRESS: STREET 1: 899 CLEVELAND ST STREET 2: P O BOX 4028 CITY: ELYRIA STATE: OH ZIP: 44036 BUSINESS PHONE: 2163296000 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: MIXON AARON MALACHI III CENTRAL INDEX KEY: 0000937770 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: 899 CLEVELAND STREET STREET 2: PO BOX 4028 CITY: ELYRIA STATE: OH ZIP: 44036 BUSINESS PHONE: 2166228207 SC 13G/A 1 MALACHI MIXON III'S SC 13G/A ON INVACARE 1 OMB APPROVAL ------------------------ OMB Number: 3235-0145 Expires: October 31, 1994 Estimated average burden hours per response..14.90 UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 SCHEDULE 13G UNDER THE SECURITIES EXCHANGE ACT OF 1934 (Amendment No. 9)* Invacare Corporation - -------------------------------------------------------------------------------- (Name of Issuer) Class B Common Shares - -------------------------------------------------------------------------------- (Title of Class of Securities) 46 1203 10 1 - -------------------------------------------------------------------------------- (CUSIP Number) Check the following box if a fee is being paid with this statement / /. (A fee is not required only if the filing person: (1) has a previous statement on file reporting beneficial ownership of more than five percent of the class of securities described in Item 1; and (2) has filed no amendment subsequent thereto reporting beneficial ownership of five percent or less of such class.) (See Rule 13d-7). *The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page. The information required in the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes). (Continued on the following page(s)) Page 1 of 6 Pages 2 CUSIP NO. 46 1203 10 1 13G PAGE 2 OF 6 PAGES 1 NAME OF REPORTING PERSON S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON A. Malachi Mixon III 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) / / Not Applicable (b) / / 3 SEC USE ONLY 4 CITIZENSHIP OR PLACE OF ORGANIZATION United States 5 SOLE VOTING POWER NUMBER OF 480,556 Class B Common Shares SHARES 158,925 Common Shares (Options) BENEFICIALLY 65,177 Common Shares OWNED BY EACH REPORTING 6 SHARED VOTING POWER PERSON WITH 28,419 Class B Common Shares 8,371 Common Shares 7 SOLE DISPOSITIVE POWER 480,556 Class B Common Shares 158,925 Common Shares (Options) 65,177 Common Shares 8 SHARED DISPOSITIVE POWER 28,419 Class B Common Shares 8,371 Common Shares 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 508,975 Class B Common Shares 158,925 Common Shares (Options) 73,550 Common Shares 10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* [X] 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 Class B Common Shares currently owned entitle the Reporting Person to exercise 11.45% of total voting power. If all Class B Common Shares of the Company were converted, the Reporting Person would own 5.05% of Common Shares. 12 TYPE OF REPORTING PERSON* IN *SEE INSTRUCTION BEFORE FILLING OUT!
Page 2 of 6 Pages 3 INVACARE CORPORATION Amendment No. 9 to Schedule 13G A. Malachi Mixon III Item 1(a). Name of Issuer: - -------------------------- Invacare Corporation Item 1(b). Address of Issuer's Principal Executive Offices: - ----------------------------------------------------------- P.O. Box 4028 899 Cleveland Street Elyria, Ohio 44036 Item 2(a). Name of Person Filing: - --------------------------------- A. Malachi Mixon III Item 2(b). Address of Principal Business Office, or, if none, residence: - ------------------------------------------------------------------------ A. Malachi Mixon III P.O. Box 4028 899 Cleveland Street Elyria, Ohio 44036 Item 2(c). Citizenship: - ----------------------- United States Item 2(d). Title of Class of Securities: - ---------------------------------------- Class B Common Shares, without par value Item 2(e). CUSIP Number: - ------------------------ 461203 10 1 Item 3. Statements Filed Pursuant to Rule 13d-1(b) or 13d-2(b): - --------------------------------------------------------------- Not Applicable Item 4. Ownership: - ------------------ (a) Amount Beneficially owned: 508,975 Class B Common Shares which carry 10 votes per share and are convertible at any time into Common Shares, 158,925 Common Shares which may be acquired upon the exercise of options, and 73,550 Common Shares; Page 3 of 6 Pages 4 (b) Percent of Class: Class B Common Shares, plus Common Shares and options, currently owned entitle the Reporting Person to exercise 11.45% of total voting power. If all Class B Common Shares of the Company were converted, the Reporting Person would own 5.05% of Common Shares. (c) Number of shares as to which such person has: (i) sole power to vote or to direct the vote -- 480,556 Class B Common Shares which carry 10 votes per share and are convertible at any time into Common Shares, 158,925 Common Shares which may be acquired upon the exercise of options, and 65,177 Common Shares; (ii) shared power to vote or to direct the vote -- 20,000 Class B Common Shares jointly owned with spouse, 1,800 Common Shares owned by spouse as Trustee for son under UTMA, 2,000 Class B Common Shares owned by spouse as Trustee for son under UTMA, 3,000 Common Shares owned by son, 643 Class B Common Shares owned by son, 3,571 Common Shares owned by Trustee for Stock Bonus Plan and 5,776 Class B Common Shares owned by Trustee for Stock Bonus Plan; (iii) sole power to dispose or to direct the disposition of -- 480,556 Class B Common Shares which carry 10 votes per share and are convertible at any time into Common Shares, 158,925 Common Shares which may be acquired upon the exercise of options, and 65,177 Common Shares; and (iv) shared power to dispose or to direct the disposition of -- 20,000 Class B Common Shares jointly owned with spouse, 1,800 Common Shares owned by spouse as Trustee for son under UTMA, 2,000 Class B Common Shares owned by spouse as Trustee for son under UTMA, 3,000 Common Shares owned by son, 643 Class B Common Shares owned by son, 3,571 Common Shares owned by Trustee for Stock Bonus Plan and 5,776 Class B Common Shares owned by Trustee for Stock Bonus Plan. Item 5. Ownership of Five Percent or Less of a Class: - ----------------------------------------------------- Not Applicable Item 6. Ownership of More Than Five Percent on Behalf of Another Person: - ------------------------------------------------------------------------ Not Applicable Page 4 of 6 Pages 5 Item 7. Identification and Classification of the Subsidiary Which - ------------------------------------------------------------------ Acquired the Security Being Reported on By the Parent ----------------------------------------------------- Holding Company: --------------- Not Applicable Item 8. Identification and Classification of Members of the Group: - ------------------------------------------------------------------ Not Applicable Item 9. Notice of Dissolution of Group: - ---------------------------------------- Not Applicable Item 10. Certification: - ----------------------- Not Applicable Page 5 of 6 Pages 6 SIGNATURE --------- After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct. Dated: February 13, 1995 /S/ A. Malachi Mixon III ____________________________ A. Malachi Mixon III Page 6 of 6 Pages -----END PRIVACY-ENHANCED MESSAGE-----