-----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, Oj962N1T/PJv5MRN9/dXaQaNIjqtCccBazPVQvIPM6GSSA1P5yywYTfgn/oTxWVR HDwBWpqkxfRbrJ1jGzZQKw== 0001209191-07-050427.txt : 20070824 0001209191-07-050427.hdr.sgml : 20070824 20070824155520 ACCESSION NUMBER: 0001209191-07-050427 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20070822 FILED AS OF DATE: 20070824 DATE AS OF CHANGE: 20070824 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: MIXON AARON MALACHI III CENTRAL INDEX KEY: 0000937770 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15103 FILM NUMBER: 071078510 BUSINESS ADDRESS: STREET 1: 899 CLEVELAND STREET STREET 2: PO BOX 4028 CITY: ELYRIA STATE: OH ZIP: 44036 BUSINESS PHONE: 2166228207 MAIL ADDRESS: STREET 1: 800 SUPERIOR AVENUE STREET 2: SUITE 1800 CITY: CLEVELAND STATE: OH ZIP: 44107 4 1 doc4.xml FORM 4 SUBMISSION X0202 4 2007-08-22 0 0000742112 INVACARE CORP IVC 0000937770 MIXON AARON MALACHI III ONE INVACARE WAY ELYRIA OH 44035 1 1 0 0 Chairman and CEO Common Shares 2007-08-22 4 A 0 35200 0.00 A 623621 D Common Shares 39866 I By GRAT Common Shares 279283 I By Spouse Common Shares 39866 I By GRAT Common Shares 24577 I By GRAT Common Shares 24576 I By GRAT Common Shares 18482 I By Invacare Retirement Savings Plan Class B Common Shares 703912 D Employee Stock Option (Right to Buy) 23.71 2007-08-22 4 A 0 22025 0.00 A 2008-09-30 2017-08-22 Common Shares 22025 1584175 D Employee Stock Option (Right to Buy) 23.71 2007-08-22 4 A 0 22025 0.00 A 2009-09-30 2017-08-22 Common Shares 22025 1606200 D Employee Stock Option (Right to Buy) 23.71 2007-08-22 4 A 0 22025 0.00 A 2010-09-30 2017-08-22 Common Shares 22025 1628225 D Employee Stock Option (Right to Buy) 23.71 2007-08-22 4 A 0 22025 0.00 A 2011-09-30 2017-08-22 Common Shares 22025 1650250 D Restricted shares granted pursuant to the Invacare Corporation 2003 Performance Plan in an exempt transaction under Rule 16b-3. These options vest in 25% increments over four years beginning November 15, 2008. Owned by the Trustee for the 2003 Grantor Retained Annuity Trust created by the reporting person. The reporting person disclaims beneficial ownership of these securities, and this report shall not be deemed an admission that the reporting person is the beneficial owner of such securities for purposes of Section 16 or for any other purpose. Owned by the Trustee for the 2003 Grantor Retained Annuity Trust created by the reporting person's spouse. Owned by the Trustee for the 1997 Grantor Retained Annuity Trust created by the reporting person's spouse. Owned by the Trustee for the 1997 Grantor Retained Annuity Trust created by the reporting person. Owned by Trustee for the Invacare Retirement Savings Plan. The information given is based on a Plan Statement of December 31, 2006, the most recent information reasonably available. The reporting person was granted options to purchase Common Shares (with tandem tax withholding rights) under the Invacare Corporation 2003 Performance Plan in reliance upon an exemption provided under Rule 16b-3. The reporting person holds previously reported options to buy 1,562,150 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 March 5, 1998 and August 23, 2006, at exercise prices between $18.6875 to $44.30 per share, will expire between March 5, 2008 and August 23, 2016 and became or will become exercisable between March 31, 1999 and September 30, 2010. /s/ A. Malachi Mixon, by Douglas A. Neary, his attorney-in-fact pursuant to Power of Attorney dated August 24, 2004 on file with the Commission. 2007-08-24 -----END PRIVACY-ENHANCED MESSAGE-----