0001209191-12-009043.txt : 20120210 0001209191-12-009043.hdr.sgml : 20120210 20120210163056 ACCESSION NUMBER: 0001209191-12-009043 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111231 FILED AS OF DATE: 20120210 DATE AS OF CHANGE: 20120210 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: Boland James C CENTRAL INDEX KEY: 0001203531 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15103 FILM NUMBER: 12593340 MAIL ADDRESS: STREET 1: 101 PROSPECT AVENUE, N.W. CITY: CLEVELAND STATE: OH ZIP: 44115 FORMER NAME: FORMER CONFORMED NAME: BOLAND JAMES C DATE OF NAME CHANGE: 20021105 5 1 doc5.xml FORM 5 SUBMISSION X0304 5 2011-12-31 0 0 0 0000742112 INVACARE CORP IVC 0001203531 Boland James C ONE INVACARE WAY ELYRIA OH 44035 1 0 0 0 Common Shares 23123.582 D Stock Option (Right to Buy) Common Shares 45343 45343 D 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 45,343 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 January 31, 2002 and December 11, 2009, at exercise prices between $10.695 to $47.01 per share, will expire between January 31, 2012 and August 20, 2018 and became or will become exercisable between March 31, 2003 and January 1, 2013. The current balance reflects the expiration of 7,939 options on December 31, 2011. /s/ James C. Boland 2012-02-09