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