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