0001209191-15-013637.txt : 20150213
0001209191-15-013637.hdr.sgml : 20150213
20150213165434
ACCESSION NUMBER: 0001209191-15-013637
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20141231
FILED AS OF DATE: 20150213
DATE AS OF CHANGE: 20150213
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: 15615792
5
1
doc5.xml
FORM 5 SUBMISSION
X0306
5
2014-12-31
0
0
0
0000742112
INVACARE CORP
IVC
0001207229
MOORE DAN T III
ONE INVACARE WAY
ELYRIA
OH
44035
1
0
0
0
Common Shares
7171
D
Common Shares
104917
I
By Trust
Common Shares
1082
I
By IRA
Stock Option (Right to Buy)
Common Shares
18569
18569
D
These shares are held by a local bank as custodian for an IRA. Due to a bookeeping error these shares were inadvertantly omitted from the reporting person's prior reports and is not reflective of any acquisition or sale.
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 18,569 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 2, 2005 and August 20, 2008, at exercise prices between $23.71 and $47.01 per share, will expire between March 2, 2015 and August 20, 2018, and became exercisable between December 21, 2005 and September 30, 2012.
The current balance reflects the expiration of 2,000 options on March 11, 2014.
/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
2015-02-13