-----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, BjCEUyPMRlmn6Zd9VuB41Ru2cgw8Az19fxmWDmQNwYBjZtj+gNpt3WmMCKiHlNgR KHHYRg7L7UYAA6TmM+zFeg== 0000950152-97-001107.txt : 19970222 0000950152-97-001107.hdr.sgml : 19970222 ACCESSION NUMBER: 0000950152-97-001107 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19970214 SROS: NONE 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: 97536085 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 MAIL ADDRESS: STREET 1: 800 SUPERIOR AVENUE STREET 2: SUITE 1800 CITY: CLEVELAND STATE: OH ZIP: 44107 SC 13G/A 1 INVACARE/MALACHI MIXON III 1 SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 ---------------- SCHEDULE 13G INFORMATION STATEMENT PURSUANT TO RULES 13D-1 AND 13D-2 UNDER THE SECURITIES EXCHANGE ACT OF 1934 (AMENDMENT NO. 11) INVACARE CORPORATION - -------------------------------------------------------------------------------- (Name of Issuer) COMMON SHARES - -------------------------------------------------------------------------------- (Title of Class of Securities) 461203 10 1 - -------------------------------------------------------------------------------- (CUSIP Number) ---------------- 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 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). Page 1 of 6 2
---------------------------------------- CUSIP NO. 461203 10 1 13G PAGE 2 OF 6 PAGES ------------ ----------- --------------------- ---------------------------------------- - --------- ------------------------------------------------------------------------------------------------ 1 NAME OF REPORTING PERSONS S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS A. Malachi Mixon III - --------- ------------------------------------------------------------------------------------------------ - --------- ------------------------------------------------------------------------------------------------ 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [ ] (b) [ ] Not Applicable - --------- ------------------------------------------------------------------------------------------------ - --------- ------------------------------------------------------------------------------------------------ 3 SEC USE ONLY - --------- ------------------------------------------------------------------------------------------------ - --------- ------------------------------------------------------------------------------------------------ 4 CITIZENSHIP OR PLACE OF ORGANIZATION United States - --------- ------------------------------------------------------------------------------------------------ - ------------------------------ ----------- --------------------------------------------------------------- NUMBER OF 5 SOLE VOTING POWER SHARES BENEFICIALLY 1,854,357 OWNED ----------- --------------------------------------------------------------- BY EACH ----------- --------------------------------------------------------------- REPORTING 6 SHARED VOTING POWER PERSON WITH: 38,711 ----------- --------------------------------------------------------------- ----------- --------------------------------------------------------------- 7 SOLE DISPOSITIVE POWER 1,854,357 ----------- --------------------------------------------------------------- ----------- --------------------------------------------------------------- 8 SHARED DISPOSITIVE POWER 38,711 - ------------------------------ ----------- --------------------------------------------------------------- - --------- ------------------------------------------------------------------------------------------------ 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 1,893,068 - --------- ------------------------------------------------------------------------------------------------ - --------- ------------------------------------------------------------------------------------------------ 10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES Not Applicable - --------- ------------------------------------------------------------------------------------------------ - --------- ------------------------------------------------------------------------------------------------ 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 6.5% - --------- ------------------------------------------------------------------------------------------------ - --------- ------------------------------------------------------------------------------------------------ 12 TYPE OF REPORTING PERSON* IN - --------- ------------------------------------------------------------------------------------------------
* SEE INSTRUCTIONS BEFORE FILLING OUT! Page 2 of 6 3 INVACARE CORPORATION Schedule 13G of A. Malachi Mixon III ITEM 1(A). NAME OF ISSUER: Invacare Corporation ITEM 1(B). ADDRESS OF ISSUER'S PRINCIPAL EXECUTIVE OFFICES: 899 Cleveland Street, Elyria, Ohio 44035 ITEM 2(A). NAME OF PERSON FILING: A. Malachi Mixon III ITEM 2(B). ADDRESS OF PRINCIPAL BUSINESS OFFICE OR, IF NONE, RESIDENCE: 899 Cleveland Street, Elyria, Ohio 44035 ITEM 2(C). CITIZENSHIP: United States ITEM 2(D). TITLE OF CLASS OF SECURITIES: Common Shares ITEM 2(E). CUSIP NUMBER: 461203 10 1 ITEM 3. Not Applicable Page 3 of 6 4 ITEM 4. OWNERSHIP. (a) Amount beneficially owned: 1,893,068 Common Shares (1)(2)(3) (b) Percent of class: 6.5%(3) (c) Number of shares as to which such person has: (i) Sole power to vote or to direct the vote 1,854,357(1) (ii) Shared power to vote or to direct the vote 38,711(2) (iii) Sole power to dispose or to direct the disposition of 1,854,357(1) (iv) Shared power to dispose or to direct the disposition of 38,711(2) (1) Includes (a) 703,912 Class B Common Shares and (b) 435,060 Common Shares issuable upon exercise of options. Each Class B Common Share is convertible at any time into one Common Share. (2) Includes (a) 7,159 Common Shares and 11,552 Class B Common Shares owned by Trustee for Stock Bonus Plan and (b) 20,000 Common Shares owned by Roundwood Capital, L.P., a limited partnership of which the General Partner is Roundcap LLC, a limited liability company. The reporting person is one of three Managers and Members of Roundcap LLC and, as such, shares investment and voting power with the other two Managers and Members and participates equally with them in a 15% carried interest in all profits of the partnership. The reporting person is also the owner of a 6.38% limited partnership interest in Roundwood Capital, L.P. The reporting person disclaims beneficial ownership of the shares owned by the limited partnership other than the percentage of such shares which corresponds to his partnership percentage. (3) Assumes conversion of all Class B Common Shares held by reporting person into Common Shares. 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 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 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. February 13, 1997 - -------------------------------------------------------- Date /s/ A. Malachi Mixon III - -------------------------------------------------------- Signature A. Malachi Mixon III - -------------------------------------------------------- Name Page 6 of 6 -----END PRIVACY-ENHANCED MESSAGE-----