-----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, AGCy5JtiQcpzU/JQJx3VpI3nv5YUtCMjOtS02xFwR31cZ9vnYng55wmTY1+j7DFP ahufwoblXAy0mZdyoYjT0w== 0001209191-05-013838.txt : 20050304 0001209191-05-013838.hdr.sgml : 20050304 20050304155723 ACCESSION NUMBER: 0001209191-05-013838 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050302 FILED AS OF DATE: 20050304 DATE AS OF CHANGE: 20050304 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: BLOUCH GERALD B CENTRAL INDEX KEY: 0001225248 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15103 FILM NUMBER: 05661353 BUSINESS ADDRESS: STREET 1: INVACARE CORP STREET 2: ONE INVACARE WAY CITY: ELYNA STATE: OH ZIP: 440362125 BUSINESS PHONE: 4403296000 MAIL ADDRESS: STREET 1: ONE INVACARE WAY CITY: ELYNA STATE: OH ZIP: 440362125 4 1 doc4.xml FORM 4 SUBMISSION X0202 4 2005-03-02 0 0000742112 INVACARE CORP IVC 0001225248 BLOUCH GERALD B ONE INVACARE WAY ELYRIA OH 44035 1 1 0 0 President and COO Common Shares 2005-03-02 4 A 0 6713 0.00 A 111968 D Common Shares 10969 I By Invacare Retirement Savings Plan Employee Stock Option (Right to Buy) Common Shares 688900 688900 D Restricted shares granted pursuant to the Invacare Corporation 2003 Performance Plan in an exempt transaction under Rule 16b-3. These shares vest in 25% increments over four years commencing May 1, 2006. Owned by Trustee for the Invacare Corporation 401(k) Plus Benefit Equalization Plan. The information given is based on a Plan Statement of December 31, 2004, 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 668,900 Common Shares (with tandem tax withholding rights) under the Invacare Corporation 1994 Performance Plan and the Invacare Corporation 2003 Performance Plan, granted in reliance upon the exemption provided by Rule 16b-3. All options were granted between February 26, 1996 and August 24, 2004, at exercise prices between $18.6875 to $44.30 per share, will expire between February 26, 2006 and August 24, 2014 and became or will become exercisable between March 31, 1997 and September 30, 2008. /s/ Gerald Blouch, by Douglas A. Neary, his attorney-in-fact, pursuant to Power of Attorney dated August 24, 2004 on file with the Commission. 2005-03-04 -----END PRIVACY-ENHANCED MESSAGE-----