-----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, UMK/bgk+txxBNzE9fSSx7flrw0YrLz+miHzTuMJJBD52BIVosqZEWsYLs74YjLQO Fa3mWYRTvNMQtpMFZxuD3Q== 0001209191-04-010619.txt : 20040217 0001209191-04-010619.hdr.sgml : 20040216 20040217155042 ACCESSION NUMBER: 0001209191-04-010619 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: BOLAND JAMES C CENTRAL INDEX KEY: 0001203531 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15103 FILM NUMBER: 04608494 BUSINESS ADDRESS: STREET 1: CAVS/GUND ARENA COMPANY STREET 2: ONE CENTER COURT CITY: CLEVELAND STATE: OH ZIP: 44115 BUSINESS PHONE: 216-420-2800 MAIL ADDRESS: STREET 1: CAVS/GUND ARENA COMPANY STREET 2: ONE CENTER COURT CITY: CLEVELAND STATE: OH ZIP: 44115 5 1 doc5.xml FORM 5 SUBMISSION X0201 5 2003-12-31 0 0 0 0000742112 INVACARE CORP IVC 0001203531 BOLAND JAMES C ONE INVACARE WAY ELYRIA OH 44035 1 0 0 0 Common Shares 1000.0000 D Employee Stock Option (Right to Buy) Common Shares 38635.0000 38635.0000 D 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 38,635 Common Shares (with tandem tax withholding rights) under the Invacare Corporation 1992 Non-Employee Director Stock Option Plan and the Invacare Corporation 1994 Performance Plan, in reliance upon the exemption provided by Rule 16b-3. All options were granted between October 30, 1998 and December 15, 2003, at exercise prices between $16.03 to $33.8438 per share, will expire between October 30, 2008 and December 15, 2013 and became or will become exercisable between October 30, 1999 and March 31, 2007. /s/ James C. Boland, by Douglas A. Neary, his attorney-in-fact pursuant to Power of Attorney dated November 12, 2002 on file with the Commission 2004-02-17 -----END PRIVACY-ENHANCED MESSAGE-----