0001209191-14-010452.txt : 20140213 0001209191-14-010452.hdr.sgml : 20140213 20140213165649 ACCESSION NUMBER: 0001209191-14-010452 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20131231 FILED AS OF DATE: 20140213 DATE AS OF CHANGE: 20140213 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: MOORE DAN T III CENTRAL INDEX KEY: 0001207229 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15103 FILM NUMBER: 14607007 5 1 doc5.xml FORM 5 SUBMISSION X0306 5 2013-12-31 0 0 0 0000742112 INVACARE CORP IVC 0001207229 MOORE DAN T III ONE INVACARE WAY ELYRIA OH 44035 1 0 0 0 Common Shares 11291 D Common Shares 100797 I By Trust Stock Option (Right to Buy) Common Shares 20569 20569 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 20,569 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 between March 11, 2004 and August 20, 2008, at exercise prices between $23.71 and $47.01 per share, will expire between March 11, 2014 and August 20, 2018 and became exercisable between March 31, 2005 and September 30, 2012. The current balance reflects the expiration of 4,573 options on December 15, 2013. /s/ Dan T. Moore III, by Kristofer K. Spreen, his attorney-in-fact pursuant to Power of Attorney, dated February 12, 2009, on file with the Commission 2014-02-13