-----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, PuRCtzqkJl7ZjOrLrBz9uvhGf1gCYeFhc+oNJ2stu7RoPj4aWN+3+p/k/COEmZzW mjmKpfgRkb+pbfpeRASNzA== 0001209191-09-024306.txt : 20090505 0001209191-09-024306.hdr.sgml : 20090505 20090505121833 ACCESSION NUMBER: 0001209191-09-024306 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090501 FILED AS OF DATE: 20090505 DATE AS OF CHANGE: 20090505 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: 09796308 MAIL ADDRESS: STREET 1: 800 SUPERIOR AVENUE STREET 2: SUITE 1800 CITY: CLEVELAND STATE: OH ZIP: 44107 4 1 doc4.xml FORM 4 SUBMISSION X0303 4 2009-05-01 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 2009-05-01 4 F 0 2686 15.11 D 683818 D Common Shares 309649 I By Spouse Common Shares 24577 I By GRAT Common Shares 24576 I By GRAT Common Shares 18892 I By Invacare Retirement Savings Plan Class B Common Shares 703912 D Employee Stock Option (Right to Buy) Common Shares 1488500 1488500 D 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 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 the Trustee for the Invacare Retirement Savings Plan. The information given is based on a Plan Statement of December 31, 2008, 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 1,488,500 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 of which are currently exercisable. All options were granted between August 31, 1999 and August 20, 2008, at exercise prices between $18.6875 to $44.30 per share, will expire between August 31, 2009 and August 20, 2018 and became exercisable between September 30, 2000 and September 30, 2012. The current balance reflects the expiration of 149,500 options on March 1, 2009. /s/ A. Malachi Mixon, by Kristofer K. Spreen, his attorney-in-fact, pursuant to Power of Attorney, dated February 12, 2009, on file with the Commission. 2009-05-05 -----END PRIVACY-ENHANCED MESSAGE-----