0001209191-13-008473.txt : 20130213 0001209191-13-008473.hdr.sgml : 20130213 20130213165434 ACCESSION NUMBER: 0001209191-13-008473 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121231 FILED AS OF DATE: 20130213 DATE AS OF CHANGE: 20130213 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DELANEY MICHAEL F CENTRAL INDEX KEY: 0001236980 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15103 FILM NUMBER: 13604111 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 X0306 5 2012-12-31 0 0 0 0000742112 INVACARE CORP IVC 0001236980 DELANEY MICHAEL F ONE INVACARE WAY ELYRIA OH 44035 1 0 0 0 Common Shares 23622 D Stock Option (Right to Buy) Common Shares 24691 24691 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 24,691 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 March 12, 2003 and December 22, 2010, at exercise prices between $10.695 to $47.01 per share, will expire between March 12, 2013 and August 20, 2018 and became or will become exercisable between March 31, 2004 and January 1, 2014. The current balance reflects the expiration of 426 options on December 16, 2012 and 1,089 options on December 31, 2012. /s/ Michael F. Delaney, by Kristofer K. Spreen, his attorney-in-fact pursuant to Power of Attorney, dated February 12, 2009, on file with the Commission 2013-02-13