-----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, IogrkgrLaW2UG6hwKO4Ljjq8kJgzaMnANN//GqNNkoU839Su1+QoSoCJ60q3oTwN Ep0+wHZCpCjsNB4If6BPlQ== 0001209191-11-008798.txt : 20110211 0001209191-11-008798.hdr.sgml : 20110211 20110211152909 ACCESSION NUMBER: 0001209191-11-008798 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20101231 FILED AS OF DATE: 20110211 DATE AS OF CHANGE: 20110211 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: 11598612 MAIL ADDRESS: STREET 1: 425 CORPORATE CIRCLE CITY: GOLDEN STATE: CO ZIP: 80401 5 1 doc5.xml FORM 5 SUBMISSION X0303 5 2010-12-31 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 654904 D Class B Common Shares 360262 D Common Shares 9091.295 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 155100 155100 D Phantom Stock Common Shares 350.865 350.865 D Owned by the Trustee for the Invacare Retirement Savings Plan. The information given is based on a Plan Statement of December 31, 2010, 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 155,100 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 October 31, 2001 and August 18, 2010, at exercise prices between $20.48 to $44.30 per share, will expire between October 31, 2011 and August 18, 2020 and became or will become exercisable between September 30, 2002 and September 30, 2014. 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, 2010, the most recent information reasonably available. /s/ Joseph B. Richey II, by Kristofer K. Spreen , his attorney-in-fact pursuant to Power of Attorney, dated February 12, 2009, on file with the Commission. 2011-02-11 -----END PRIVACY-ENHANCED MESSAGE-----