-----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, S8ke/cXMdwO0Q8ponNIheAeNZoZhhoh/TG4fuDkh2l6uKMJGs3JWKKlhXo5SuDB+ zVm3NrXvpXXocDT4YiXkXQ== 0001209191-10-008888.txt : 20100212 0001209191-10-008888.hdr.sgml : 20100212 20100212151014 ACCESSION NUMBER: 0001209191-10-008888 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20091231 FILED AS OF DATE: 20100212 DATE AS OF CHANGE: 20100212 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: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15103 FILM NUMBER: 10598330 MAIL ADDRESS: STREET 1: 425 CORPORATE CIRCLE CITY: GOLDEN STATE: CO ZIP: 80401 5 1 doc5.xml FORM 5 SUBMISSION X0303 5 2009-12-31 0 0 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 652934 D Class B Common Shares 360262 D Common Shares 9150.4334 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 164100 164100 D Phantom Stock Common Shares 350.162 350.162 D Owned by the Trustee for the Invacare Retirement Savings Plan. The information given is based on a Plan Statement of December 31, 2009, 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 164,100 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 August 24, 2000 and August 19, 2009, at exercise prices between $20.48 to $44.30 per share, will expire between August 24, 2010 and August 19, 2019 and became or will become exercisable between September 30, 2001 and September 30, 2013. 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. The information given is based on a Plan Statement of December 31, 2009, the most recent information reasonably available. /s/ Joseph B. Richey II 2010-02-12 -----END PRIVACY-ENHANCED MESSAGE-----