0001144204-16-125321.txt : 20160926
0001144204-16-125321.hdr.sgml : 20160926
20160926161555
ACCESSION NUMBER: 0001144204-16-125321
CONFORMED SUBMISSION TYPE: 5/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20151231
FILED AS OF DATE: 20160926
DATE AS OF CHANGE: 20160926
ISSUER:
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
BUSINESS ADDRESS:
STREET 1: ONE INVACARE WAY
STREET 2: P O BOX 4028
CITY: ELYRIA
STATE: OH
ZIP: 44036
BUSINESS PHONE: 4403296000
MAIL ADDRESS:
STREET 1: ONE INVACARE WAY
STREET 2: P O BOX 4028
CITY: ELYRIA
STATE: OH
ZIP: 44036
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: MIXON AARON MALACHI III
CENTRAL INDEX KEY: 0000937770
FILING VALUES:
FORM TYPE: 5/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-15103
FILM NUMBER: 161902420
MAIL ADDRESS:
STREET 1: 800 SUPERIOR AVENUE
STREET 2: SUITE 1800
CITY: CLEVELAND
STATE: OH
ZIP: 44107
5/A
1
v449354_5-a.xml
OWNERSHIP DOCUMENT
X0306
5/A
2015-12-31
2016-01-29
1
0
0
0000742112
INVACARE CORP
IVC
0000937770
MIXON AARON MALACHI III
31100 PINETREE ROAD, #208
PEPPER PIKE
OH
44124
0
0
0
1
Retired as Dir. 6/30/2015
Common Shares
2015-12-29
5
G
0
2232
D
104879
D
Common Shares
158530
I
Through A. Malachi Mixon III Trust
Common Shares
19045
I
By IRA
Common Shares
4106
I
By Family Foundation
The original Form 5 filed on January 29, 2016 is amended by this Form 5/A to correctly reflect the amount of securities beneficially owned. No other changes have been made to this line
The original Form 5 filed on January 29, 2016 is amended by this Form 5/A to correctly reflect the amount of securities beneficially owned. No other changes have been made to this line.
No transaction is being reported on this line.
The original Form 5 filed on January 29, 2016 is amended by this Form 5/A to add this line in order to show Class B Common Shares the reporting person holds through his IRA.
The original Form 5 filed on January 29, 2016 is amended by this Form 5/A to add this line in order to show Class B Common Shares the reporting person holds through his Family Foundation.
/s/A. Malachi Mixon, by Molly Z. Brown, his attorney-in-fact, pursuant to Power of Attorney, dated 1/12/2016, on file with the Commission
2016-09-26