FORM 3 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES 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*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 11/19/2010 |
3. Issuer Name and Ticker or Trading Symbol
INVACARE CORP [ IVC ] |
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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5. If Amendment, Date of Original Filed
(Month/Day/Year) |
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6. Individual or Joint/Group Filing (Check Applicable Line)
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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 | 15,260(1) | D | |
Common Shares | 600.056 | I | By Invacare Retirement Savings Plan(2) |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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1. Title of Derivative Security (Instr. 4) | 2. Date Exercisable and Expiration Date (Month/Day/Year) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form: 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 Option (Right to Buy) | (3) | 09/27/2014 | Common Shares | 10,000 | $44.44 | D | |
Employee Stock Option (Right to Buy) | (3) | 09/08/2015 | Common Shares | 4,500 | $41.87 | D | |
Employee Stock Option (Right to Buy) | (3) | 08/23/2016 | Common Shares | 5,500 | $22.66 | D | |
Employee Stock Option (Right to Buy) | (4) | 08/22/2017 | Common Shares | 7,000 | $23.71 | D | |
Employee Stock Option (Right to Buy) | (5) | 08/20/2018 | Common Shares | 8,000 | $25.79 | D | |
Employee Stock Option (Right to Buy) | (6) | 06/01/2019 | Common Shares | 10,000 | $17.52 | D | |
Employee Stock Option (Right to Buy) | (7) | 08/19/2019 | Common Shares | 13,800 | $20.48 | D | |
Employee Stock Option (Right to Buy) | (8) | 08/18/2020 | Common Shares | 11,600 | $25.24 | D | |
Employee Stock Option (Right to Buy) | (9) | 10/01/2020 | Common Shares | 6,000 | $26.78 | D |
Explanation of Responses: |
1. 10,425 of these shares are restricted shares granted pursuant to the Invacare Corporation 2003 Performance Plan. The restricted shares become vested as follows: 750 shares on May 15, 2011; 3,050 shares on November 15, 2011; 750 shares on May 15, 2012; 2,475 shares on November 15, 2012; 750 shares on May 15, 2013; 1,825 shares on November 15, 2013; and 825 shares on November 15, 2014. |
2. Owned by the Trustee for the Invacare Retirement Savings Plan. The information given is based on a Plan Statement of December 31, 2009, the most recent information reasonably available. |
3. Immediately exercisable. |
4. Employee stock option (with tandem tax withholding rights) held under the Invacare Corporation 2003 Performance Plan and granted on August 22, 2007. The option becomes exercisable in four equal annual installments. The first installment became exercisable on September 30, 2008, the second installment became exercisable on September 30, 2009, the third installment became exercisable on September 30, 2010 and the last installment becomes exercisable on September 30, 2011. |
5. Employee stock option (with tandem tax withholding rights) held under the Invacare Corporation 2003 Performance Plan and granted on August 20, 2008. The option becomes exercisable in four equal annual installments. The first installment became exercisable on September 30, 2009, the second installment became exercisable on September 30, 2010 and the next two installments become exercisable on September 30, 2011 and September 30, 2012. |
6. Employee stock option (with tandem tax withholding rights) held under the Invacare Corporation 2003 Performance Plan and granted on June 1, 2009. The option becomes exercisable in four equal annual installments. The first installment became exercisable on March 31, 2010 and the next three installments become exercisable on March 31, 2011, March 31, 2012 and March 31, 2013. |
7. Employee stock option (with tandem tax withholding rights) held under the Invacare Corporation 2003 Performance Plan and granted on August 19, 2009. The option becomes exercisable in four equal annual installments. The first installment became exercisable on September 30, 2010 and the next three installments become exercisable on September 30, 2011, September 30, 2012 and September 30, 2013. |
8. Employee stock option (with tandem tax withholding rights) held under the Invacare Corporation 2003 Performance Plan and granted on August 18, 2010. The option becomes exercisable in four equal annual installments on September 30, 2011, September 30, 2012, September 30, 2013 and September 30, 2014. |
9. Employee stock option (with tandem tax withholding rights) held under the Invacare Corporation 2003 Performance Plan and granted on October 1, 2010. The option becomes exercisable in four equal annual installments on September 30, 2011, September 30, 2012, September 30, 2013 and September 30, 2014. |
Remarks: |
/s/Kristofer K. Spreen as attorney-in-fact for Carl E. Will under Power of Attorney | 11/29/2010 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v). | ||
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |