-----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, JOh/U/5pcKnZMjgHMY9HKXEnOBWWphMgdrlCsjiCWLoTyCcuxjEkIBm+JScF8Zje e21NKAS/r6oI13qY6PsnMg== 0001209191-04-010788.txt : 20040217 0001209191-04-010788.hdr.sgml : 20040216 20040217175138 ACCESSION NUMBER: 0001209191-04-010788 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040212 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: RICHEY JOSEPH B II CENTRAL INDEX KEY: 0000937769 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15103 FILM NUMBER: 04610732 BUSINESS ADDRESS: STREET 1: 425 COPRORATE CIRCLE CITY: GOLDEN STATE: CO ZIP: 80401 BUSINESS PHONE: 2166228207 MAIL ADDRESS: STREET 1: 425 CORPORATE CIRCLE CITY: GOLDEN STATE: CO ZIP: 80401 4 1 doc4.xml FORM 4 SUBMISSION X0201 4 2004-02-12 0 0000742112 INVACARE CORP IVC 0000937769 RICHEY JOSEPH B II ONE INVACARE WAY ELYRIA OH 44036 1 1 0 0 Senior Vice President Common Shares 2004-02-12 4 M 0 21800.0000 13.8750 A 632956.0000 D Common Shares 2004-02-12 4 F 0 11471.0000 45.6700 D 621485.0000 D Class B Common Shares 360262.0000 D Common Shares 9000.0000 I By Invacare Retirement Savings Plan Common Shares 10134.0000 I By Charitable Remainder Unitrust Class B Common Shares 16000.0000 I IRA Employee Stock Option (Right to Buy) 13.8750 2004-02-12 4 M 0 21800.0000 0 D Common Shares 21800.0000 222900.0000 D Phantom Stock 2004-02-13 4 A 0 14.0000 44.2200 A Common Shares 14.0000 6511.0000 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. The reporting person still holds previously reported options to buy 222,900 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 February 17, 1995 and August 20, 2003, at exercise prices between $17.00 to $37.70 per share, will expire between February 17, 2005 and August 20, 2013 and became or will become exercisable between February 17, 1996 and September 30, 2007. 1-for-1 Upon cessation of employment in accordance with the terms and conditions of the Invacare Corporation 401(k) Plus Benefit Equalization Plan. Owned by Trustee for the Invacare Corporation 401(k) Plus Benefit Equalization Plan. /s/ Joseph B. Richey, II 2004-02-17 -----END PRIVACY-ENHANCED MESSAGE-----