-----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, OK4UvRuveJH74AeSHZ6LFjOfGtrd90r27dahjRjicqUrHGxIdZ+w05ZYXbPwVKa3 qEvzL6bMtQLcK/NI1cIfBw== 0001209191-05-058965.txt : 20051122 0001209191-05-058965.hdr.sgml : 20051122 20051122094444 ACCESSION NUMBER: 0001209191-05-058965 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20051118 FILED AS OF DATE: 20051122 DATE AS OF CHANGE: 20051122 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: 051219930 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 X0202 4 2005-11-18 0 0000742112 INVACARE CORP IVC 0000937769 RICHEY JOSEPH B II ONE INVACARE WAY ELYRIA OH 44035 1 1 0 0 Senior Vice President Common Shares 631792 D Class B Common Shares 360262 D Common Shares 8834 I By Invacare Retirement Savings Plan Common Shares 10134 I By Charitable Remainder Unitrust Class B Common Shares 16000 I IRA Employee Stock Option (Right to Buy) Common Shares 247800 247800 D Phantom Stock Common Shares 7266.8161 7266.8161 D Phantom Stock 2005-11-18 4 A 0 14.2627 35.32 A Common Shares 14.2627 298.4355 D Owned by Trustee for the Invacare Retirement Savings Plan. The information given is based on a Plan Statement of December 31, 2004, the most recent information reasonably available. The reporting person holds previously reported options to buy 247,800 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 September 8, 2005, at exercise prices between $18.6875 to $44.30 per share, will expire between February 26, 2006 and September 8, 2015 and became or will become exercisable between March 31, 1997 and September 30, 2009. 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. Upon cessation of employment in accordance with the terms and conditions of the Invacare Corporation Deferred Compensation Plus Plan. Owned by Trustee for the Invacare Corporation Deferred Compensation Plus Plan. /s/ Joseph B. Richey II, by Douglas A. Neary, his attorney-in-fact pursuant to Power of Attorney, dated August 24, 2004, on file with the Commission. 2005-11-22 -----END PRIVACY-ENHANCED MESSAGE-----