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