0001209191-15-013654.txt : 20150213
0001209191-15-013654.hdr.sgml : 20150213
20150213170238
ACCESSION NUMBER: 0001209191-15-013654
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: Shah Baiju R.
CENTRAL INDEX KEY: 0001520926
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-15103
FILM NUMBER: 15615989
MAIL ADDRESS:
STREET 1: ONE INVACARE WAY
CITY: ELYRIA
STATE: OH
ZIP: 44035
5
1
doc5.xml
FORM 5 SUBMISSION
X0306
5
2014-12-31
0
0
0
0000742112
INVACARE CORP
IVC
0001520926
Shah Baiju R.
ONE INVACARE WAY
ELYRIA
OH
44035
1
0
0
0
Common Shares
18695
D
Stock Option (Right to Buy)
Common Shares
4496
4496
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 4,496 Common Shares (with tandem tax wihholding rights) under the Invacare Corporation 2003 Performance Plan, granted in reliance under the exemption provided by Rule 16b-3. All options were granted on May 19, 2011, at an exercise price of $33.36 per share, will expire on May 19, 2021, and became or will become exercisable between March 31, 2012 and March 31, 2015.
/s/ Baiju Shah, by Kristofer K. Spreen, his attorney-in-fact pursuant to Power of Attorney, dated May 12, 2011, on file with the Commission
2015-02-13