-----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, EBkrOFRMjpBfuYkKbzdrpoyuSuUWNE0lBK51mQj9Jrnnj/WGV4rUOd9dWXUfIgip qdEGCZdYb0pnM4SxA5Fn3g== 0000950152-98-001065.txt : 19980217 0000950152-98-001065.hdr.sgml : 19980217 ACCESSION NUMBER: 0000950152-98-001065 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19980212 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: SEC FILE NUMBER: 005-35958 FILM NUMBER: 98535692 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 CORPORATION/A. MALACHI MIXON--SC 13G/A 1 SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 --------- SCHEDULE 13G (Rule 13d-102) INFORMATION TO BE INCLUDED IN STATEMENTS FILED PURSUANT TO RULES 13d-1(b) AND (c) AND AMENDMENTS THERETO FILED PURSUANT TO 13d-2(b) (Amendment No. 12)(1) INVACARE CORPORATION - -------------------------------------------------------------------------------- (Name of Issuer) COMMON SHARES - -------------------------------------------------------------------------------- (Title of Class of Securities) 461203 10 1 - -------------------------------------------------------------------------------- (CUSIP Number) --------- - -------- 1 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). 2
- --------------------------------------- -------------------------------------- 13G CUSIP NO. 461203 10 1 PAGE 2 OF 6 PAGES - --------------------------------------- -------------------------------------- - --------- -------------------------------------------------------------------------------------------------------------- 1. NAMES OF REPORTING PERSONS I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY) 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 1,988,166 SHARES ----- --------------------------------------------------------------------------------------- BENEFICIALLY 6. SHARED VOTING POWER 68,741 OWNED BY ----- --------------------------------------------------------------------------------------- EACH 7. SOLE DISPOSITIVE POWER 1,988,166 REPORTING ----- --------------------------------------------------------------------------------------- PERSON WITH 8. SHARED DISPOSITIVE POWER 68,741 - -------------------------- ----- --------------------------------------------------------------------------------------- 9. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 2,056,907 - --------- -------------------------------------------------------------------------------------------------------------- 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 7.0% - --------- -------------------------------------------------------------------------------------------------------------- 12. TYPE OF REPORTING PERSON* IN - --------- --------------------------------------------------------------------------------------------------------------
*SEE INSTRUCTIONS BEFORE FILLING OUT! 3 ITEM 1(a). NAME OF ISSUER: Invacare Corporation -------------------------------------------------------------- ITEM 1(b). ADDRESS OF ISSUER'S PRINCIPAL EXECUTIVE OFFICES: One Invacare Way, 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: One Invacare Way, 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: IF THIS STATEMENT IS FILED PURSUANT TO RULES 13d-1(b), OR 13d-2(b), CHECK WHETHER THE PERSON FILING IS A: (a) [ ] Broker or dealer registered under Section 15 of the Act, (b) [ ] Bank as defined in Section 3(a)(6) of the Act, (c) [ ] Insurance Company as defined in Section 3(a)(19) of the Act, (d) [ ] Investment Company registered under Section 8 of the Investment Company Act, (e) [ ] Investment Adviser registered under Section 203 of the Investment Advisers Act of 1940, (f) [ ] Employee Benefit Plan, Pension Fund which is subject to the provisions of the Employee Retirement Income Security Act of 1974 or Endowment Fund; see 13d-1(b)(1)(ii)(F), 4 (g) [ ] Parent Holding Company, in accordance with Rule 13d-1(b)(ii) (G); see Item 7, (h) [ ] Group, in accordance with Rule 13d-1(b)(1)(ii)(H). Not Applicable ITEM 4. OWNERSHIP. If the percent of the class owned, as of December 31 of the year covered by the statement, or as of the last day of any month described in rule 13d-1 (b)(2), if applicable, exceeds five percent, provide the following information as of that date and identify those shares which there is a right to acquire. (a) Amount beneficially owned: 2,056,907 (1) (2) (3) -------------------------------------------------------------- (b) Percent of class: 7.0% -------------------------------------------------------------- (c) Number of shares as to which such person has: (i) Sole power to vote or to direct the vote 1,988,166 (1) -------------------- (ii) Shared power to vote or to direct the vote 68,741 (2) ------------------ (iii) Sole power to dispose or to direct the disposition of 1,988,166 (1) --------------------- (iv) Shared power to dispose or to direct the disposition of 68,741 (2) --------------------
Instruction. For computations regarding securities which represent a right to acquire an underlying security, see Rule 13d-3(d)(1). (1) Includes (a) 703,912 Class B Common Shares and (b) 455,720 Common Shares issuable upon exercise of options. Each Class B Common Share is convertible at any time into one Common Share. (2) Includes (a) 7,189 Common Shares and 11,552 Class B Common Shares owned by Trustee for Stock Bonus Plan and (b) 50,000 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 5 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. If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than five percent of the class of securities, check the following [ ]. Not Applicable ITEM 6. OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF ANOTHER PERSON. Not Applicable 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 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 12, 1998 ------------------------------------------- (Date) /s/ A. Malachi Mixon III ------------------------------------------- (Signature) A. Malachi Mixon III, Chairman and CEO ------------------------------------------- (Name/Title)
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