-----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, EBgIeD6SirtPwyQs9vSaA8Dh1JfCDaYjihGfTWSr7L5htIhsJ8709Dbu6TJ3Z32F vu3skrwj8V7ZCCTm+FeO+w== 0001209191-04-010482.txt : 20040217 0001209191-04-010482.hdr.sgml : 20040216 20040217142325 ACCESSION NUMBER: 0001209191-04-010482 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031231 FILED AS OF DATE: 20040217 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MILLER BRIDGET A CENTRAL INDEX KEY: 0001225254 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15103 FILM NUMBER: 04607209 BUSINESS ADDRESS: STREET 1: INVACARE CORP STREET 2: ONE INVACARE WAY CITY: ELYRIA STATE: OH ZIP: 440362125 BUSINESS PHONE: 4403296000 MAIL ADDRESS: STREET 1: ONE INVACARE WAY CITY: ELYRIA STATE: OH ZIP: 440362125 5 1 doc5.xml FORM 5 SUBMISSION X0201 5 2003-12-31 0 0 0 0000742112 INVACARE CORP IVC 0001225254 MILLER BRIDGET A ONE INVACARE WAY ELYRIA OH 44036 0 1 0 0 Vice President & Gen. Counsel Common Shares 1800.0000 D Common Shares 790.0000 I By Invacare Retirement Savings Plan Employee Stock Option (Right to Buy) Common Shares 14300.0000 14300.0000 D Owned by Trustee for the Invacare Retirement Savings Plan. The information given is based on a Plan Statement of December 31, 2003, the most recent information reasonably available. No transaction is being reported on this line. Reported on a previously filed Form 3, Form 4, or Form 5. The reporting person holds previously reported options to buy 14,300 Common Shares (with tandem tax withholding rights) under the Invacare Corporation 1994 Performance Plan and the Invacare Corporation 2003 Performance Plan, in reliance upon the exemption provided by Rule 16b-3. All options were granted between August 22, 1994 and August 20, 2003, at exercise prices between $15.1250 to $37.70 per share, will expire between August 22, 2004 and August 20, 2013 and became or will become exercisable between March 31, 1995 and September 30, 2007. /s/ Bridget A. Miller 2004-02-10 -----END PRIVACY-ENHANCED MESSAGE-----