0001209191-12-009077.txt : 20120210
0001209191-12-009077.hdr.sgml : 20120210
20120210163744
ACCESSION NUMBER: 0001209191-12-009077
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20111231
FILED AS OF DATE: 20120210
DATE AS OF CHANGE: 20120210
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: MOORE DAN T III
CENTRAL INDEX KEY: 0001207229
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-15103
FILM NUMBER: 12593476
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
5
1
doc5.xml
FORM 5 SUBMISSION
X0304
5
2011-12-31
0
0
0
0000742112
INVACARE CORP
IVC
0001207229
MOORE DAN T III
ONE INVACARE WAY
ELYRIA
OH
44035
1
0
0
0
Common Shares
65186
D
Common Shares
37532
I
By Trust
Stock Option (Right to Buy)
Common Shares
28142
28142
D
Held by local bank as Trustee for IRA Trust.
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 28,142 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 August 20, 2008, at exercise prices between $23.71 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 September 30, 2012.
The current balance reflects the expiration of 2,185 options on November 13, 2011.
/s/ Dan T. Moore III
2012-02-09