0001209191-12-009068.txt : 20120210
0001209191-12-009068.hdr.sgml : 20120210
20120210163540
ACCESSION NUMBER: 0001209191-12-009068
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: LaPorte Dale C
CENTRAL INDEX KEY: 0001314132
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-15103
FILM NUMBER: 12593447
MAIL ADDRESS:
STREET 1: 1400 MCDONALD INVESTMENT CENTER
STREET 2: 800 SUPERIOR AVENUE
CITY: CLEVELAND
STATE: OH
ZIP: 44114
5
1
doc5.xml
FORM 5 SUBMISSION
X0304
5
2011-12-31
0
0
0
0000742112
INVACARE CORP
IVC
0001314132
LaPorte Dale C
ONE INVACARE WAY
ELYRIA
OH
44035
1
0
0
0
Common Shares
11126
D
Common Shares
20000
I
By Trust
Stock Option (Right to Buy)
Common Shares
7858
7858
D
Owned by the Reporting Person's Profit Sharing Trust Plan.
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 7,858 Common Shares (with tandem tax withholding rights) under the Invacare Corporation 2003 Performance Plan, granted in reliance upon the exemption provided by Rule 16b-3. All options were granted on February 12, 2009, at an exercise price of $19.09 per share, will expire February 13, 2019 and became or will become exercisable between March 31, 2010 and March 31, 2013.
/s/ Dale C. LaPorte
2012-02-09