0000950170-23-048792.txt : 20230919
0000950170-23-048792.hdr.sgml : 20230919
20230919163011
ACCESSION NUMBER: 0000950170-23-048792
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230915
FILED AS OF DATE: 20230919
DATE AS OF CHANGE: 20230919
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Rosen Steven H
CENTRAL INDEX KEY: 0001535144
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-15103
FILM NUMBER: 231264208
MAIL ADDRESS:
STREET 1: 6065 PARKLAND BOULEVARD
CITY: MAYFIELD HEIGHTS
STATE: OH
ZIP: 44124
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Azurite Management LLC
CENTRAL INDEX KEY: 0001933086
STATE OF INCORPORATION: OH
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-15103
FILM NUMBER: 231264207
BUSINESS ADDRESS:
STREET 1: 25101 CHAGRIN BOULEVARD
STREET 2: SUITE 350
CITY: CLEVELAND
STATE: OH
ZIP: 44122
BUSINESS PHONE: (216) 292-4535
MAIL ADDRESS:
STREET 1: 25101 CHAGRIN BOULEVARD
STREET 2: SUITE 350
CITY: CLEVELAND
STATE: OH
ZIP: 44122
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: INVACARE HOLDINGS Corp
CENTRAL INDEX KEY: 0000742112
STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842]
IRS NUMBER: 384264819
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: ONE INVACARE WAY
CITY: ELYRIA
STATE: OH
ZIP: 44035
BUSINESS PHONE: 4403296000
MAIL ADDRESS:
STREET 1: ONE INVACARE WAY
CITY: ELYRIA
STATE: OH
ZIP: 44035
FORMER COMPANY:
FORMER CONFORMED NAME: INVACARE CORP
DATE OF NAME CHANGE: 19920703
4
1
ownership.xml
4
X0508
4
2023-09-15
0000742112
INVACARE HOLDINGS Corp
IVCRQ
0001535144
Rosen Steven H
25101 CHAGRIN BOULEVARD, SUITE 350
CLEVELAND
OH
44122
true
false
true
false
0001933086
Azurite Management LLC
25101 CHAGRIN BOULEVARD, SUITE 350
CLEVELAND
OH
44122
false
false
true
false
false
Warrant (right to buy)
1.72
2023-09-15
4
A
false
2756884
0
A
2033-05-05
Common Stock
2756884
2756884
I
As sole manager of Azurite Management LLC
The warrant vests in three equal annual instalments beginning on May 5, 2024.
The warrant is held of record by Azurite Management LLC. Mr. Rosen, in his capacity as the sole manager of Azurite Management LLC, has the ability to indirectly control the voting and disposition of securities held of record by Azurite Management LLC and, as such, may be deemed to have indirect beneficial ownership of the securities held of record by Azurite Management LLC. Mr. Rosen disclaims beneficial ownership of these securities, except to the extent of his pecuniary interest therein.
/s/ Steven H. Rosen
2023-09-19
AZURITE MANAGEMENT LLC, by: /s/ Steven H. Rosen, Manager
2023-09-19