0001209191-11-056898.txt : 20111117 0001209191-11-056898.hdr.sgml : 20111117 20111117183513 ACCESSION NUMBER: 0001209191-11-056898 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111115 FILED AS OF DATE: 20111117 DATE AS OF CHANGE: 20111117 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: SLANGEN LOUIS F J CENTRAL INDEX KEY: 0001233925 STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842] STATE OF INCORPORATION: OH FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15103 FILM NUMBER: 111214387 BUSINESS ADDRESS: STREET 1: ONE INVACARE WAY STREET 2: P O BOX 4028 CITY: ELYRIA STATE: OH ZIP: 44036 BUSINESS PHONE: 4403296000 4 1 doc4.xml FORM 4 SUBMISSION X0304 4 2011-11-15 0 0000742112 INVACARE CORP IVC 0001233925 SLANGEN LOUIS F J ONE INVACARE WAY ELYRIA OH 44035 0 1 0 0 Senior Vice President Common Shares 2011-11-15 4 F 0 1350 21.20 D 30717 D Common Shares 10249.591 I By Invacare Retirement Savings Plan Common Shares 520 I By Spouse Employee Stock Option (Right to Buy) Common Shares 161400 161400 D The surrender of these shares is for tax withholding purposes in conjunction with the vesting of restricted shares held 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, 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 161,400 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 21, 2002 and September 2, 2011, at exercise prices between $20.48 to $44.30 per share, will expire between August 21, 2012 and September 2, 2021 and became or will become exercisable between September 30, 2003 and September 30, 2015. The current balance reflects the expiration of 20,000 options on October 31, 2011. /s/ Louis F. J. Slangen, by Kristofer K. Spreen, his attorney-in-fact pursuant to Power of Attorney, dated February 12, 2009, on file with the Commission 2011-11-17